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Gary Boggus Md, Pc
Specialist in Norfolk, Virginia
NPI 1972956944

Gary Boggus Md, Pc is a Specialist based in Norfolk, VA. Gary Boggus Md, Pc practices in Norfolk, VA. The NPI Number for Gary Boggus Md, Pc is 1972956944 and holds a License No. 0101050420 (Virginia).

The current practice location address for Gary Boggus Md, Pc is 6353 Center Dr, Norfolk, VA and can be reached out via phone at 757-461-3313 and via fax at 757-461-8363.

Location: 6353 Center Dr, Norfolk, VA, 23502-4112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972956944
Provider Name
Gary Boggus Md, Pc
Credential
Provider Entity Type
Organization
Address
6353 Center Dr, Norfolk, VA, 23502-4112
Phone Number
757-461-3313
Fax Number
757-461-8363
Provider Enumeration Date
07/14/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1932290988 05 VA
institution
Provider Business Practice Location Address Details
Address
6353 Center Dr
City
Norfolk
State
Virginia
Zip
23502-4112
Phone Number
757-461-3313
Fax Number
757-461-8363
person
Provider Business Mailing Address Details
Address
6353 Center Dr
City
Norfolk
State
Virginia
Zip
23502-4112
Phone Number
757-461-3313
Fax Number
757-461-8363
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0101050420 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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