Provider Demographics
NPI:1154385284
Name:VOEGELI, PAUL THOMAS JR (DPM)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:THOMAS
Last Name:VOEGELI
Suffix:JR
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:165 SOUTH UNION BOULEVARD
Mailing Address - Street 2:SUITE 322
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-2211
Mailing Address - Country:US
Mailing Address - Phone:303-980-1166
Mailing Address - Fax:303-988-3995
Practice Address - Street 1:165 SOUTH UNION BOULEVARD
Practice Address - Street 2:SUITE 322
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-2211
Practice Address - Country:US
Practice Address - Phone:303-980-1166
Practice Address - Fax:303-988-3995
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-14
Last Update Date:2007-10-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO381213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01003813Medicaid
CO01003813Medicaid
CO0455300001Medicare NSC
T60240Medicare UPIN