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Individual

TIMOTHY D VOGL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CO

Contact information

Practice address
615 S VANDEVENTER AVE, SAINT LOUIS, MO 63110-1239
(314) 368-9438
Mailing address
615 S VANDEVENTER AVE, SAINT LOUIS, MO 63110-1239
(314) 368-9438

Taxonomy

Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary

Other

Enumeration date
12/26/2007
Last updated
12/26/2007
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