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Jerry D. Boggs, MD
Neurology Physician in Roseburg, Oregon
NPI 1003890153

Jerry D. Boggs is a Neurology Physician based in Roseburg, OR and is specialized in Neurology. Jerry D. Boggs practices in Roseburg, OR and has the professional credentials of MD. The NPI Number for Jerry D. Boggs is 1003890153 and holds a License No. MD20969 (Oregon).

The current practice location address for Jerry D. Boggs is 1741 West Harvard Ave, Roseburg, OR and can be reached out via phone at 541-440-5320 and via fax at 541-440-5322. You can also correspond with Jerry D. Boggs through the mailing address at PO BOX 1700, ROSEBURG, OR - 97470-0414 (mailing address contact number: 541-440-5320).

Location: 1741 West Harvard Ave, Roseburg, OR, 97470-0414
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003890153
Provider Name
Jerry D. Boggs
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1741 West Harvard Ave, Roseburg, OR, 97470-0414
Phone Number
541-440-5320
Fax Number
541-440-5322
Provider Enumeration Date
12/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
151137 05 OR
institution
Provider Business Practice Location Address Details
Address
1741 West Harvard Ave
City
Roseburg
State
Oregon
Zip
97471-2716
Phone Number
541-440-5320
Fax Number
541-440-5322
person
Provider Business Mailing Address Details
Address
1741 West Harvard Ave
City
Roseburg
State
Oregon
Zip
97471-2716
Phone Number
541-440-5320
Fax Number
541-440-5322
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
MD20969 (Oregon)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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