Mercedes Boggs
Emergency Physician
308 Student Health Ctr
University Park
, Pennsylvania 16802-2129
Mercedes Boggs
Emergency Physician
308 Student Health Ctr
University Park
, Pennsylvania 16802-2129
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Mercedes Boggs
- 308 Student Health Ctr
- University Park, PA
- Zip : 16802-2129
- Phone :
Second Address
- Mercedes Boggs
- 308 Student Health Ctr
- University Park, PA
- Zip : 16802-2129
- Phone : (814) 863-6747
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | MT192709 | PA |
National Provider Identifier
| NPI | 1013173046 |
|---|---|
| Provider Name | Mercedes Boggs |
| First Address | University Park, PA 16802-2129 |
| Second Address | University Park, PA 16802-2129 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/07/2008 |
| Last Update Date | 15/06/2021 |
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.