Individual provider · Type 1 NPI
Abigail Davis Bogan, PA-C
Medical Physician Assistant · Bossier City, LA
NPI number
1174304042
Active
Practice location
5341 Airline Dr
Bossier City, LA 71111-6710
Mailing address
5341 Airline Dr Ste 130
Bossier City, LA 71111-6710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1174304042
Abigail Davis Bogan, PA-C's National Provider Identifier is 1174304042, issued on Oct 9, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bossier City, LA. The record was last updated on Dec 20, 2023.