Provider Demographics
NPI:1366415788
Name:VOGT, ROBERT P (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:P
Last Name:VOGT
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Gender:M
Credentials:MD
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Mailing Address - Street 1:6005 DELMONICO DR
Mailing Address - Street 2:STE. 70 STE 150
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80919-2264
Mailing Address - Country:US
Mailing Address - Phone:719-266-5244
Mailing Address - Fax:719-266-5245
Practice Address - Street 1:6005 DELMONICO DR
Practice Address - Street 2:STE 150
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80919-2237
Practice Address - Country:US
Practice Address - Phone:719-266-5244
Practice Address - Fax:719-266-5245
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2011-09-08
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Provider Licenses
StateLicense IDTaxonomies
CO39147207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO93050721Medicaid
CO93050721Medicaid
CO530928Medicare ID - Type Unspecified