NPI 1770143919 · live from the CMS NPI Registry
Robert Mark Boguski, DPM
Podiatrist in Roanoke, VA. National Provider Identifier 1770143919, active.
NPI record
| NPI | 1770143919 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 222 Walnut Ave Sw, Roanoke, VA 24016 |
| Practice phone | 947-521-1320 |
| Mailing address | 28050 Grand River Ave, Farmington Hills, MI 48336 |
| Enumerated | June 19, 2019 |
| Last updated | June 30, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 5951001235 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.