Individual
WILLIAM KOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1402 S GRAND BLVD # M260, SAINT LOUIS, MO 63104-1004
(605) 929-2884
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-7205
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2023009339
MO
390200000X
Student in an Organized Health Care Education/Training Program
R-12362
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2018
Last updated
06/26/2023
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