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NEAL W MOGK MD PC. NPI 1225200751


NPI Information

NPI: 1225200751
Provider Name: NEAL W MOGK MD PC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
715 N BEAVER ST
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 774-7345
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NEAL W MOGK MD PC. is a family medicine in Flagstaff, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NEAL W MOGK MD PC. NPI is 1225200751. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

715 N BEAVER ST
FLAGSTAFF, AZ
ZIP 86001-141
Phone: (928) 774-7345
Fax: (928) 774-4622

The provider's authorized official is Neal W Mogk .
The authorized official title is Owner/ Doctor and has the following contact phone number (928) 774-7345.

The enumeration date for this NPI number is 3/25/2008 and was last updated on 1/9/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineAZ17321ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C99998MEDICARE UPINARIZONA
2Z74522MEDICARE PINARIZONA
3277477MEDICAIDARIZONA
4AZ0848210OTHERARIZONABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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