Dr. Peter Bogard, D.O.
Family Medicine, Sports Medicine in Grants Pass, OR. Individual provider (NPI-1).
NPI number1659374528
StatusActive
Last updated in NPPESMar 17, 2008
Details
- NPI
- 1659374528
- Entity type
- Individual (NPI-1)
- Name
- Dr. Peter Bogard
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 24, 2005
- Last updated
- Mar 17, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QS0010X | Family Medicine, Sports Medicine | DO18557 | OR | Yes |
Practice location
700 Ramsey AveSte 104
Grants Pass, OR 97527-5788
Phone 541-471-4930 · Fax 541-471-1331
Mailing address
700 Ramsey AveSte 104
Grants Pass, OR 97527-5788
Phone 541-471-4930 · Fax 541-471-1331
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