Healthcare Provider Details

I. General information

NPI: 1811007685
Provider Name (Legal Business Name): STEPHEN D VOGLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 05/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 BANNOCK ST MC 3000
DENVER CO
80204-4507
US

IV. Provider business mailing address

777 BANNOCK ST MC 3000
DENVER CO
80204-4507
US

V. Phone/Fax

Practice location:
  • Phone: 303-436-4200
  • Fax: 303-436-4409
Mailing address:
  • Phone: 303-436-4200
  • Fax: 303-436-4409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number29678
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: