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Organization
OGDENSBURG FAMILY PRACTICE LLC
Active
Organization
OGDENSBURG FAMILY PRACTICE LLC
Active
Other names
Ogdensburg Family Practice LLC
Organization subpart
No
Provider details
NPI number
Authorized official
WYLON SPRINGSTEAD MD (OFFICE MANAGER)
(315) 393-9268
Entity
Organization
Contact information
Practice address
921 STATE ST, OGDENSBURG, NY 13669-3347
(315) 393-9268
(315) 393-3541
Mailing address
921 STATE ST, OGDENSBURG, NY 13669-3347
(315) 393-9268
(315) 393-3541
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/31/2014
Last updated
04/06/2022
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