Stan Bogard IMF

NPI 1437328366 - Social Worker - 104100000X

NPI Details
NPI 1437328366
Gender Male
Enumeration Date 02/25/2008
Last Updated 02/25/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2535 KETTNER BLVD
SUITE 1A4
SAN DIEGO CA, 92101-1250, US
Phone (619) 615-0701
Fax (619) 615-0705
Business Location
2535 KETTNER BLVD
SUITE 1A4
SAN DIEGO CA, 92101-1250, US
Phone (619) 615-0701
Fax (619) 615-0705
Toxanomy
Taxonomy Code 104100000X
License State California
License Number 50213
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According to our database, Stan Bogard IMF NPI is 1437328366, taxonomy code is 104100000X and license number is 50213, license state is located at California. Stan Bogard IMF physically located at 2535 Kettner Blvd, San Diego CA, 92101-1250. NPI Number Stan Bogard IMF has the Individual type.

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1437328366 NPI number is provided on an as is basis without warranty of any kind. 1437328366 is maintained by the National Plan & Provider Enumeration System. The contents of Stan Bogard IMF are for informational purposes only.