NPI 1003085630

Peter Shelby Bogard DO

Organisation Sports Medicine (Family Medicine) Physician Grants Pass, OR

Practice location

Address: 700 SW Ramsey Suite 104, Grants Pass, OR 97527-5788
Phone: (541) 471-4930
Fax: (541) 471-1331

Authorised official

Name: Peter Shelby Bogard
Title: Doctor
Phone: (541) 471-4930

Registered specialties

Sports Medicine (Family Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207QS0010X Licence DO18557 (OR)

Other Family Medicine providers in Oregon →

Registry record

NPI: 1003085630
Entity type: Organization
NPI issued: 28 Feb 2008
Record last updated: 17 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.