DR. Fred M Bogan, D.C.

NPI #1982791794 in Tulsa, Oklahoma

Provider Information

NPI Number: 1982791794
Entity Type: Individual
Name: DR. Fred M Bogan, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Oct 5, 2006
Last Updated: Oct 19, 2011

Practice Location

Address: 1211 S HARVARD AVE
City: Tulsa
State: Oklahoma
ZIP Code: 74112-4915
Phone: (912) 832-7880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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