Pamela Elise Bogan RN

NPI 1093071243 - Registered Nurse - 163W00000X

NPI Details
NPI 1093071243
Gender Female
Enumeration Date 04/02/2012
Last Updated 04/02/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS MO, 63112-4265, US
Phone (314) 367-5820
Fax (314) 367-6326
Business Location
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS MO, 63112-4265, US
Phone (314) 367-5820
Fax (314) 367-6326
Toxanomy
Taxonomy Code 163W00000X
License State Missouri
License Number 2004007211
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According to our database, Ms. Pamela Elise Bogan RN NPI is 1093071243, taxonomy code is 163W00000X and license number is 2004007211, license state is located at Missouri. Pamela Elise Bogan RN physically located at 5471 Dr Martin Luther King Dr, Saint Louis MO, 63112-4265. NPI Number Pamela Elise Bogan RN has the Individual type.

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1093071243 NPI number is provided on an as is basis without warranty of any kind. 1093071243 is maintained by the National Plan & Provider Enumeration System. The contents of Pamela Elise Bogan RN are for informational purposes only.