Lookup NPI Numbers from the NPI Registry
NPI Profile for WALTER A BOGUCKI in NAMPA, ID.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI Number | 1104259027 |
|
| Status | Active | |
| Credentials | CADC | |
| Entity | Individual | |
| Enumeration date | 08/14/2013 | |
| Last updated | 08/14/2013 - About 13 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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WALTER A BOGUCKI
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WALTER A BOGUCKI, CADC