Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | NV637 | NV |
NPI | 1033288329 |
---|---|
Provider Name | Dr. Bruce Gregory Vogel |
First Address | Yerington, NV 89447 |
Second Address | Yerington, NV 89447 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C00887 | (02) |