Individual
GREGORY VOGT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
129 LOIS LN, PENNSBORO, WV 26415-9504
(304) 266-5662
Mailing address
129 LOIS LN, PENNSBORO, WV 26415-9504
(304) 266-5662
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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