IndividualActive
Boris Bogomilov, MD
NPI 1790749638 · Clinical Cardiac Electrophysiology Physician · Fayetteville, AR
Provider details
- NPI number
- 1790749638
- Entity type
- Individual
- Primary specialty
- Clinical Cardiac Electrophysiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- E4311 (AR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3211 N Northhills Blvd
Suite 110
Fayetteville, AR 72703-4007
Phone: (479) 571-4338
Fax: (479) 571-4015
Approximate (ZIP-level) locationGet directions
Mailing address
3211 N Northhills Blvd
Fayetteville, AR 72703-4007
Registry dates
- Enumerated
- 2006-04-17
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.