Shyrlena L Bogard MD

NPI 1467615898 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1467615898
Gender Female
Enumeration Date 07/07/2008
Last Updated 07/31/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
920 WEST ST
BLDG B
PERU IL, 61354-2763, US
Phone (815) 223-2944
Fax
Business Location
1305 6TH ST
PERU IL, 61354-2759, US
Phone (815) 780-5029
Fax
Toxanomy
Taxonomy Code 390200000X
License State Virginia
License Number 0116018709
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According to our database, Shyrlena L Bogard MD NPI is 1467615898, taxonomy code is 390200000X and license number is 0116018709, license state is located at Virginia. Shyrlena L Bogard MD physically located at 920 West St, Peru IL, 61354-2763. NPI Number Shyrlena L Bogard MD has the Individual type.

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1467615898 NPI number is provided on an as is basis without warranty of any kind. 1467615898 is maintained by the National Plan & Provider Enumeration System. The contents of Shyrlena L Bogard MD are for informational purposes only.