Provider Demographics
NPI:1700562113
Name:VOGEL-BLADT, TAYLOR SAMANTHA (DO)
Entity Type:Individual
Prefix:MRS
First Name:TAYLOR
Middle Name:SAMANTHA
Last Name:VOGEL-BLADT
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:981150 NEBRASKA MEDICAL CTR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-1150
Mailing Address - Country:US
Mailing Address - Phone:402-559-6637
Mailing Address - Fax:402-559-6637
Practice Address - Street 1:981150 NEBRASKA MEDICAL CTR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-1150
Practice Address - Country:US
Practice Address - Phone:402-559-6637
Practice Address - Fax:402-559-6637
Is Sole Proprietor?:No
Enumeration Date:2023-06-22
Last Update Date:2023-06-22
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Provider Licenses
StateLicense IDTaxonomies
NE9753207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine