Dr. Scott Irwin Boggs, DPM
Podiatrist, Foot & Ankle Surgery in Fort Mohave, AZ. Individual provider (NPI-1).
NPI number1467439331
StatusActive
Last updated in NPPESJul 7, 2020
Details
- NPI
- 1467439331
- Entity type
- Individual (NPI-1)
- Name
- Dr. Scott Irwin Boggs
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 30, 2005
- Certification date
- Jul 7, 2020
- Last updated
- Jul 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | 0417 | AZ | Yes |
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | E3499 | CA |
Practice location
5221 Hwy 95Suite 10
Fort Mohave, AZ 86426-9244
Phone 928-788-3668 · Fax 928-788-3670
Mailing address
5221 Hwy 95Suite 10
Fort Mohave, AZ 86426-9244
Phone 928-788-3668 · Fax 928-788-3670
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