Provider Demographics
NPI:1700075223
Name:BOGLE, ANN CAINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:CAINE
Last Name:BOGLE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:495 W KENT DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-6652
Mailing Address - Country:US
Mailing Address - Phone:480-963-1245
Mailing Address - Fax:
Practice Address - Street 1:495 W KENT DR
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-6652
Practice Address - Country:US
Practice Address - Phone:480-963-1245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-21
Last Update Date:2007-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS