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Individual

DR. JOSEPH LOUIS BOGGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD FACS

Contact information

Practice address
705 GARFIELD AVENUE, SUITE 200, PARKERSBURG, WV 26101
(304) 424-2030
(304) 424-2956
Mailing address
705 GARFIELD AVENUE, SUITE 200, PARKERSBURG, WV 26101
(304) 424-2030
(304) 424-2956

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10788
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020020275
RAIL ROAD MEDICARE
Enumeration date
11/21/2006
Last updated
01/19/2012
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