Provider Demographics
NPI:1205095346
Name:VOGT, ADAM PATRICK (MD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:PATRICK
Last Name:VOGT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5008 MOXON ST
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116-6777
Mailing Address - Country:US
Mailing Address - Phone:719-648-5438
Mailing Address - Fax:
Practice Address - Street 1:1725 PINE ST.
Practice Address - Street 2:JACKSON HOSPITAL DEPARTMENT OF PATHOLOGY
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106
Practice Address - Country:US
Practice Address - Phone:334-293-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-04
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME125027207ZC0500X, 207ZP0102X, 207ZD0900X
ALMD.36102207ZD0900X
ALMD36102207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology