Individual
JOHN MOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3305 RENNER DR, FORTUNA, CA 95540-3119
(707) 725-9355
(707) 725-2426
Mailing address
2936 HILLSIDE DR, FORTUNA, CA 95540-1704
(707) 725-2971
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A024356
CA
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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