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Individual

DR. PHILIP JOHN VOGELSANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
3800 JANES RD, ARCATA, CA 95521-4742
(707) 822-3621
(707) 826-1342
Mailing address
3800 JANES RD, ARCATA, CA 95521-4742
(707) 822-7220
(707) 826-8284

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
22800083
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
22800083
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G593630
INDIVIDUAL PROVIDER #
01
220011353
RAILROAD MEDIA
CA
Enumeration date
08/30/2006
Last updated
02/11/2016
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