Dr. Clifton Bogardus III
Medical Geneticist
4212 N 16th St
Phoenix
, Arizona 85016-5319
Dr. Clifton Bogardus III
Medical Geneticist
4212 N 16th St
Phoenix
, Arizona 85016-5319
(602) 200-5225
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About
Features
Specialties
- Medical Geneticist
Languages spoken
- English
Location
First Address
- Dr. Clifton Bogardus III
- 1550 E Indian School Rd
- Phoenix, AZ
- Zip : 85014-4972
- Fax : (602) 200-5225
- Phone : (602) 200-5200
Second Address
- Dr. Clifton Bogardus III
- 4212 N 16th St
- Phoenix, AZ
- Zip : 85016-5319
- Fax : (602) 200-5225
- Phone : (602) 200-5200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 170100000X | Medical Geneticist | 15092 | AZ |
National Provider Identifier
| NPI | 1669789418 |
|---|---|
| Provider Name | Dr. Clifton Bogardus III |
| First Address | Phoenix, AZ 85014-4972 |
| Second Address | Phoenix, AZ 85016-5319 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2010 |
| Last Update Date | 31/08/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.