Jerry D. Boggs is a Neurology in Roseburg, Oregon. Jerry D. Boggs practices all healthcare services and medical treatments related to Neurology. The NPI Number for Jerry D. Boggs is 1003890153. The last update date is 2015-09-10.
Jerry D. Boggs's current location address is Po Box 1700, Roseburg, Oregon. You can contact this provider via phone number 5414405320 and fax number 5414405322. The mailing address for Jerry D. Boggs is Po Box 1700, Roseburg, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry D. Boggs |
|---|---|
| Address | Po Box 1700, Roseburg, Oregon |
| Phone Number | 5414405320 |
| Fax Number | 5414405322 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1003890153 |
|---|---|
| Provider Enumeration Date | 2005-12-02 |
| Last Updated Date | 2015-09-10 |
Provider Mailing Address Detail
| Address | Po Box 1700 |
|---|---|
| City | Roseburg |
| State | Oregon (OR) |
| Post Code | 974700414 |
| Phone Number | 5414405320 |
| Fax Number | 5414405322 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | MD20969 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 151137 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jerry D. Boggs by the Centers for Medicare & Medicaid Services (CMS)?
The Jerry D. Boggs has been assigned the NPI (National Provider Identifier) 1003890153. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Jerry D. Boggs's facilities are situated?
The facilities of Jerry D. Boggs are physically located at the following address: Po Box 1700, Roseburg, OR, 974700414.
What is Jerry D. Boggs's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jerry D. Boggs is Neurology, and the taxonomy classification code that categorizes this area of expertise is 2084N0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1003890153 to Jerry D. Boggs?
The Centers for Medicare & Medicaid Services originally issued the 1003890153 to Jerry D. Boggs on 2005-12-02.
As of what date were the Jerry D. Boggs's details last updated?
The information pertaining to the Jerry D. Boggs, including its address, specialty, and other details, was most recently updated on 2015-09-10.