Individual
ANGELA BOGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1029 E WASHINGTON AVE, MCALESTER, OK 74501-4849
(918) 423-2220
Mailing address
PO BOX 1625, MCALESTER, OK 74502-1625
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2814
OK
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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