Provider Demographics
NPI:1801811237
Name:VOGT, VAL Y (MD)
Entity type:Individual
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First Name:VAL
Middle Name:Y
Last Name:VOGT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1325 WOLF PARK DR
Mailing Address - Street 2:STE 103
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-1759
Mailing Address - Country:US
Mailing Address - Phone:901-252-3411
Mailing Address - Fax:901-763-4305
Practice Address - Street 1:1325 WOLF PARK DR
Practice Address - Street 2:STE 102
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-1759
Practice Address - Country:US
Practice Address - Phone:901-252-3400
Practice Address - Fax:901-763-4305
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2024-09-16
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Provider Licenses
StateLicense IDTaxonomies
TN29404207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3816046Medicaid
7201891OtherCIGNA
P00349905OtherRAILRAOD MEDICARE
TN4077792OtherBCBS
5423662OtherAETNA HMO
AR97680OtherBCBS AR
MS00118962Medicaid
AR97680OtherBCBS AR
MS00118962Medicaid