| NPI | 1861224735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY EDMOND VOGEL Practice Owner 800-403-4234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2025-01-22 |