| Dr Marc Nicholas Boggy, MD | |
|
101 Bodin Cir, Travis Afb, CA 94535-1809 | |
| (402) 294-8581 | |
| Not Available |
| Full Name | Dr Marc Nicholas Boggy |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 101 Bodin Cir, Travis Afb, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558545285 | NPI | - | NPPES |
| 40876 | Other | AZ | MEDICAL LICENSE |
| 77028 | Other | AZ | TRAINING PERMIT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 77028 (Arizona) | Secondary |
| 208000000X | Pediatrics | 40876 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marc Nicholas Boggy, MD 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: () - | Dr Marc Nicholas Boggy, MD 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (402) 294-8581 |
Dr. Brian Leonardo Montenegro, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5323 | |
Dr. Chad Ian Tarter, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7176 | |
Dr. Joshua Jude Sacha, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: Allergy/immunizations Clinic, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-5107 | |
Haritha Shiva O'hart, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5323 | |
Luisa Sandoval, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 609-556-9811 | |
Dr. Robert Shane Weatherwax, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3906 |