| Doctor Name: | DR. SCOTT IRWIN BOGGS |
| NPI Number: | 1467439331 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | E3499 |
| Business Practice Address: | 5221 Hwy 95 Suite 10 Fort Mohave, AZ - 864269244 |
| Business Phone Number: | 9287883668 |
| Business Fax Number: | 9287883670 |
| Mailing Address: | 5221 Hwy 95, Suite 10 FORT MOHAVE |
| State: | AZ |
| Postal Code: | 864269244 |
| Phone Number: | 9287883668 |
| Fax Number: | 9287883670 |
| NPI Enumeration Date: | 12/30/2005 |
| NPI Last Update Date: | 12/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | E3499 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |