Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | DN20714 | FL |
NPI | 1023432960 |
---|---|
Provider Name | Rachael Voigt |
First Address | Offutt Afb, NE 68113-1043 |
Second Address | Offutt Afb, NE 68113-1043 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2014 |
Last Update Date | 07/11/2021 |