NPI Profile for BENJAMIN BOGERT in CORVALLIS, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI # | 1154945038 |
|
| Status | Active | |
| Credentials | DPM (Doctor of Podiatric Medicine) | |
| Entity | Individual | |
| Enumeration date | 06/05/2020 | |
| Last updated | 11/04/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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BENJAMIN BOGERT
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