NPI 1063934321

Wendal Allen Boggs

Practitioner Other Technician Ardmore, OK

Practice location

Address: 1219 K St NW, Ardmore, OK 73401-1801
Phone: (580) 798-4523
Mailing address: 602 S 1st Ave, Madill, OK 73446-3619

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Oklahoma →

Registry record

NPI: 1063934321
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jul 2017
Record last updated: 7 Jul 2017

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.