Individual
DR. STEVEN TEDD FOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-2569
(573) 882-2226
Mailing address
4904 THORNBROOK RDG, COLUMBIA, MO 65203-9750
(157) 335-5142
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R8071
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201302338
—
MO
05
—
629589513A
—
GA
Enumeration date
05/16/2006
Last updated
03/15/2021
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