Individual
DALLAS JOHN VOGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
201 RIDGE ST STE 201, COUNCIL BLUFFS, IA 51503-4643
(712) 322-5565
Mailing address
201 RIDGE ST STE 201, COUNCIL BLUFFS, IA 51503-4643
(712) 322-5565
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D154087
IA
Other
Enumeration date
03/17/2019
Last updated
03/17/2019
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