Individual provider · Type 1 NPI
Clifton Bogardus Iii, MD
Ph.D. Medical Genetics · Phoenix, AZ
NPI number
1669789418
Active
Practice location
4212 N 16th St
Phoenix, AZ 85016-5319
Fax (602) 200-5225
Mailing address
1550 E Indian School Rd
Phoenix, AZ 85014-4972
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ph.D. Medical Genetics Primary | 170100000X | 15092 (AZ) |
Ph.D. Medical Genetics: A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists.
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About NPI 1669789418
Clifton Bogardus Iii, MD's National Provider Identifier is 1669789418, issued on Aug 31, 2010. The primary taxonomy on file is Ph.D. Medical Genetics (170100000X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 31, 2010.