Individual
DR. FRED M BOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1211 S HARVARD AVE, TULSA, OK 74112-4915
(912) 832-7880
(918) 832-0737
Mailing address
1211 SOUTH HARVARD, TULSA, OK 74112
(912) 832-7880
(918) 832-0737
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1935
OK
Other
Enumeration date
10/05/2006
Last updated
10/19/2011
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