Male or Other

Donald E. Bogard PA-C

Physician Assistant in Centerville, OH(View on Map)

Full Name

Donald E Bogard PA-C

NPI Number

1336140896

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/09/2005

Specialties

(Taxonomies)

Code

363A00000X
363AS0400X

Primary Taxonomy

Yes
No

Licenses

State

Ohio
Ohio

License Number

50-000768
50-00-0768

Contact
Information

Purpose

Mailing
Location

Address

6680 POE AVE
2350 MIAMI VALLEY DR STE 500

City

Dayton
Centerville

State

OH
OH

Postal Code

45414-2854
45459-4780

Country

US
US

Telephone Number

(937) 280-8400
(937) 425-0003

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

admin@dpn.oncoemrdirect.com

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

2350 Miami Valley Dr Ste 500Centerville, OH454594780US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/29/2020

Provider Address

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