Eric Ivan Vogt, MD Valid NPI
Individual provider · Urology Physician · Jefferson City, MO
- NPI
- 1164534640
- Type
- Individual (Type 1)
- Primary specialty
- Urology Physician (Urology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208800000X
- License number
- 2007007793 (MO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-08-31
- Last updated
- 2007-07-08
Practice location
3207 W Truman Blvd
Jefferson City, MO 65109-0892
(573) 636-5115