Individual
DOUGLAS EUGENE VOGT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
204 N KEENE ST, SUITE 100, COLUMBIA, MO 65201-8102
(573) 442-0320
(573) 442-0421
Mailing address
204 N KEENE ST, SUITE 100, COLUMBIA, MO 65201-8102
(573) 442-0320
(573) 442-0421
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD108225
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209803808
—
MO
Enumeration date
05/03/2006
Last updated
07/02/2014
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