NPI 1063696128

Timothy D Vogl, CO

Practitioner Orthotic Fitter Saint Louis, MO

Practice location

Address: 615 S Vandeventer Ave, Saint Louis, MO 63110-1239
Phone: (314) 368-9438

Registered specialties

Orthotic Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X

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Registry record

NPI: 1063696128
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Dec 2007
Record last updated: 26 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.