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1831299148
CHARLES R BOGE
IDAHO FALLS, ID
NPI
1831299148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: ID M2659)
Enumeration Date
2006-09-25
Last Update Date
2007-07-30
Business Address
-- CHARLES R BOGE MD
2860 CHANNING WAY SUITE 116
IDAHO FALLS, ID 83404-7531
Phone number: 208-535-4567
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Mailing Address
-- CHARLES R BOGE MD
1452 THREE FOUNTAINS DR
IDAHO FALLS, ID 83404-5641
Phone number: 208-535-4567
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