Individual
DR. H. BRUCE VOGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1205 S. GRANGE AVE, STE 510, SIOUX FALLS, SD 57105-0410
(605) 328-0020
(605) 328-0021
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2103
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0902817
—
IA
05
—
5600602
—
SD
05
—
725895000
—
MN
Enumeration date
10/05/2005
Last updated
12/01/2011
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