Michael Scott Bogaard O.D.

NPI 1083607535 - Optometrist - 152W00000X

NPI Details
NPI 1083607535
Gender Male
Enumeration Date 08/30/2005
Last Updated 08/21/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2900 DOOLITTLE DR
ELLSWORTH AFB SD, 57706-4821, US
Phone (605) 385-3281
Fax (605) 385-2424
Business Location
2900 DOOLITTLE DR
ELLSWORTH AFB SD, 57706-4821, US
Phone (605) 385-3281
Fax (605) 385-2424
Toxanomy
Taxonomy Code 152W00000X
License State Colorado
License Number 2207
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According to our database, Dr. Michael Scott Bogaard O.D. NPI is 1083607535, taxonomy code is 152W00000X and license number is 2207, license state is located at Colorado. Michael Scott Bogaard O.D. physically located at 2900 Doolittle Dr, Ellsworth Afb SD, 57706-4821. NPI Number Michael Scott Bogaard O.D. has the Individual type.

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1083607535 NPI number is provided on an as is basis without warranty of any kind. 1083607535 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Scott Bogaard O.D. are for informational purposes only.