Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | MD00016191 | WA |
NPI | 1013190024 |
---|---|
Provider Name | Dr. Armen James Bogosian |
First Address | Anacortes, WA 98221-9018 |
Second Address | Anacortes, WA 98221-9018 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2007 |
Last Update Date | 12/12/2007 |