Healthcare Provider Details

I. General information

NPI: 1043286016
Provider Name (Legal Business Name): ARTHUR MARC VOGEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 10/21/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6825 216TH ST SW
LYNNWOOD WA
98036-7379
US

IV. Provider business mailing address

PO BOX 100559
FLORENCE SC
29501-0559
US

V. Phone/Fax

Practice location:
  • Phone: 425-712-8020
  • Fax: 425-712-8349
Mailing address:
  • Phone: 843-664-4300
  • Fax: 843-664-4308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License NumberMD00015542
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: