NPI | 1003085630 |
---|---|
Doing Business As | BOGARD FAMILY AND SPORTS MEDICINE |
Entity Type | Organization |
Authorized Contact | PETER SHELBY BOGARD Doctor 541-471-4930 |
Organization Subpart ? | No |
Primary Taxonomy | 207QS0010X Family Medicine Sports Medicine (Licence: OR DO18557) |
Enumeration Date | 2008-02-28 |
Last Update Date | 2008-03-17 |