| Doctor Name: | CHERYL VOGAN |
| NPI Number: | 1235134719 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | E0630 |
| Business Practice Address: | 1302 W Collin Raye Dr De Queen, AR - 718322502 |
| Business Phone Number: | 8706427740 |
| Business Fax Number: | 8706424285 |
| Mailing Address: | 1302 W Collin Raye Dr, DE QUEEN |
| State: | AR |
| Postal Code: | 718322502 |
| Phone Number: | 8706427740 |
| Fax Number: | 8706424285 |
| NPI Enumeration Date: | 06/20/2005 |
| NPI Last Update Date: | 01/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | E0630 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |