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Individual

HEIDI JO VOGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1417 S CLIFF AVENUE, SUITE 200, SIOUX FALLS, SD 57105
(605) 322-8920
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0925
SD

Other

Enumeration date
10/22/2014
Last updated
08/22/2019
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