Bruce D Boggs MD

NPI 1053375386 - Emergency Medicine - 207P00000X

NPI Details
NPI 1053375386
Gender Male
Enumeration Date 04/13/2006
Last Updated 08/08/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
124 OLD GRAY STATION RD STE 1
GRAY TN, 37615-3434, US
Phone (423) 477-0600
Fax (423) 477-0611
Business Location
124 OLD GRAY STATION RD STE 1
GRAY TN, 37615-3434, US
Phone (423) 477-0600
Fax (423) 477-0611
Toxanomy
Taxonomy Code 207P00000X
License State Tennessee
License Number MD39382
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According to our database, Bruce D Boggs MD NPI is 1053375386, taxonomy code is 207P00000X and license number is MD39382, license state is located at Tennessee. Bruce D Boggs MD physically located at 124 Old Gray Station Rd Ste 1, Gray TN, 37615-3434. NPI Number Bruce D Boggs MD has the Individual type.

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1053375386 NPI number is provided on an as is basis without warranty of any kind. 1053375386 is maintained by the National Plan & Provider Enumeration System. The contents of Bruce D Boggs MD are for informational purposes only.