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Organization
NEAL W MOGK MD PC.
Active
Organization
NEAL W MOGK MD PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEAL W MOGK (OWNER/ DOCTOR)
(928) 774-7345
Entity
Organization
Contact information
Practice address
715 N BEAVER ST, FLAGSTAFF, AZ 86001-3141
(928) 774-7345
(928) 774-4622
Mailing address
715 N BEAVER ST, FLAGSTAFF, AZ 86001-3141
(928) 774-7345
(928) 774-4622
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AZ17321
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277477
—
AZ
01
—
AZ0848210
BCBS
AZ
Enumeration date
03/25/2008
Last updated
01/09/2009
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