Provider Demographics
NPI:1639227358
Name:VOEGELE, PATRICK ALEXANDER (MD)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:ALEXANDER
Last Name:VOEGELE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1145 E. CLARK AVE. #F
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93455
Mailing Address - Country:US
Mailing Address - Phone:805-934-5140
Mailing Address - Fax:805-934-3500
Practice Address - Street 1:1145 E CLARK AVE STE F
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93455-5169
Practice Address - Country:US
Practice Address - Phone:805-934-5140
Practice Address - Fax:805-934-3500
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG53795207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP00471228OtherMEDICARE RAILROAD
CAWG53795EMedicare PIN
CAE66240Medicare UPIN