Provider Demographics
NPI:1982059150
Name:ROBERT VOGLER, P.A.
Entity Type:Organization
Organization Name:ROBERT VOGLER, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:VOGLER
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:479-857-3298
Mailing Address - Street 1:826 N DENVER AVE
Mailing Address - Street 2:
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72801-3405
Mailing Address - Country:US
Mailing Address - Phone:479-857-3298
Mailing Address - Fax:
Practice Address - Street 1:826 N DENVER AVE
Practice Address - Street 2:
Practice Address - City:RUSSELLVILLE
Practice Address - State:AR
Practice Address - Zip Code:72801-3405
Practice Address - Country:US
Practice Address - Phone:479-857-3298
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-25
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT1700261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy