NPI 1669789418
Clifton Bogardus, MD
Practice location
- Address
- 4212 N 16th St, Phoenix, AZ 85016-5319
- Phone
- (602) 200-5200
- Fax
- (602) 200-5225
- Mailing address
- 1550 E Indian School Rd, Phoenix, AZ 85014-4972
Registered specialties
Ph.D. Medical Genetics
Primary
Registry record
- NPI
- 1669789418
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 31 Aug 2010
- Record last updated
- 31 Aug 2010
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.