Provider Demographics
NPI:1952394710
Name:COGAR, ALLISON ANNE (MD)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:ANNE
Last Name:COGAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:ROBNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 35380
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89133-5380
Mailing Address - Country:US
Mailing Address - Phone:702-877-8661
Mailing Address - Fax:710-266-7468
Practice Address - Street 1:904 W TEMPLE AVE
Practice Address - Street 2:
Practice Address - City:EFFINGHAM
Practice Address - State:IL
Practice Address - Zip Code:62401-2178
Practice Address - Country:US
Practice Address - Phone:217-342-1234
Practice Address - Fax:217-342-1230
Is Sole Proprietor?:No
Enumeration Date:2005-08-26
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT10159208000000X, 207L00000X
IL036163894207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics