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NPI Code Detail

MEDICARE: ALEX MICHAEL VOGT

MEDICARE: ALEX MICHAEL VOGT
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
1363LF0000XFamily Nurse Practitioner842518NV

General Provider Information

NPI Number : 1588235766
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEX MICHAEL VOGT
Provider Business Mailing Address
First Line : 1850 PUTNAM DR
Second Line :
City : RENO
State : NV
Zip : 89503-2437
Country : US
Telephone Number : 775-762-6090
Fax Number :
Provider Business Practice Location Address
First Line : 1005 TERMINAL WAY STE 184
Second Line :
City : RENO
State : NV
Zip : 89502-2179
Country : US
Telephone Number : 775-762-6090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2021
Last Update Date : 07/08/2021

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Directions to “ ALEX MICHAEL VOGT ” Practice Location

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