MEDICARE: DR. ROBERT P VOGT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	39147	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366415788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT P VOGT M.D.

Provider Business Mailing Address
First Line	:	6005 DELMONICO DR
Second Line	:	STE. 70 STE 150
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919-2264
Country	:	US
Telephone Number	:	719-266-5244
Fax Number	:	719-266-5245

Provider Business Practice Location Address
First Line	:	6005 DELMONICO DR
Second Line	:	STE 150
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919-2237
Country	:	US
Telephone Number	:	719-266-5244
Fax Number	:	719-266-5245

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	09/08/2011

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