Individual
DR. GUY ALEXANDER FOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11605 E 23RD ST S, INDEPENDENCE, MO 64050-4201
(816) 579-6891
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
(615) 314-5257
(615) 692-0547
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-47208
KS
207R00000X
Internal Medicine Physician
Primary
2023005511
MO
207R00000X
Internal Medicine Physician
MD195200
OR
Other
Enumeration date
05/06/2015
Last updated
02/21/2023
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