KENNETH BOGART

MISSOULA, MT
NPI1770520058
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MT  28)
Enumeration Date2006-06-02
Last Update Date2007-07-08
Business Address
Mr. KENNETH BOGART PA
323 W ALDER ST
MISSOULA, MT 59802-4123
Phone number: 406-258-4191
Mailing Address
Mr. KENNETH BOGART PA
323 W ALDER ST
MISSOULA, MT 59802-4123
Phone number: 406-258-4191