NPI 1902119902

Staci Bogin, DPM

Practitioner Foot & Ankle Surgery Podiatrist Thornton, CO

Practice location

Address: 3655 E 104th Ave Suite B, Thornton, CO 80233-4469
Phone: (720) 328-2022
Fax: (720) 328-1224
Mailing address: 3879 E 120th Ave #337, Thornton, CO 80233-1658

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence POD-698 (CO)

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Registry record

NPI: 1902119902
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jul 2010
Record last updated: 13 Sep 2013

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.