DR. Michael Scott Bogaard, O.D.

NPI #1083607535 in Ellsworth Afb, South Dakota

Provider Information

NPI Number: 1083607535
Entity Type: Individual
Name: DR. Michael Scott Bogaard, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 30, 2005
Last Updated: Aug 21, 2007

Practice Location

Address: 2900 DOOLITTLE DR
City: Ellsworth Afb
State: South Dakota
ZIP Code: 57706-4821
Phone: (605) 385-3281

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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