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Organization

ROGER VOGELFANGER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROGER VOGELFANGER M.D. (OWNER)
(901) 767-1136
Entity
Organization

Contact information

Practice address
6005 PARK AVE, SUITE 630B, MEMPHIS, TN 38119-5202
(901) 767-1136
(901) 767-0476
Mailing address
6005 PARK AVE, SUITE 630B, MEMPHIS, TN 38119-5202
(901) 767-1136
(901) 767-0476

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LSW4235
TN
1041C0700X
Clinical Social Worker
LSW965
TN
2084P0800X
Psychiatry Physician
MD39794
TN
2084P0800X
Psychiatry Physician
MD40113
TN
2084P0800X
Psychiatry Physician
Primary
MD8231
TN
2084P0804X
Child & Adolescent Psychiatry Physician
MD39794
TN
2084P0804X
Child & Adolescent Psychiatry Physician
MD8231
TN
363LF0000X
Family Nurse Practitioner
APN7497
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APN7497
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3724233
TN
05
3925579
TN
Enumeration date
05/17/2007
Last updated
10/27/2007
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