Dr. Michael A. Bogue, M.D.
Anesthesiology in San Diego, CA. Individual provider (NPI-1).
NPI number1104836618
StatusActive
Last updated in NPPESDec 30, 2015
Details
- NPI
- 1104836618
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael A. Bogue
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2006
- Last updated
- Dec 30, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | A64470 | CA | Yes |
Practice location
7901 Frost StSan Diego, CA 92123-2701
Phone 858-939-3400
Mailing address
210 N Tustin AveSanta Ana, CA 92705-3807
Phone 714-347-1000 · Fax 714-647-1245
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