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Organization

BRENDA M VOGL,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDA MARCELLA VOGL RN,ANP (NURSE PRACTITIONER)
(480) 227-1618
Entity
Organization

Contact information

Practice address
4545 E CHANDLER BLVD, SUITE 305, PHOENIX, AZ 85048-7643
(480) 785-7546
Mailing address
4545 E CHANDLER BLVD, SUITE 305, PHOENIX, AZ 85048-7643
(480) 785-7546

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN066390
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1306972989
NPI
AZ
Enumeration date
08/06/2007
Last updated
08/06/2007
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