Individual
JASON OGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
231 S 30TH ST, ENID, OK 73701-6455
(580) 596-2800
(580) 596-2805
Mailing address
405 S OKLAHOMA AVE, CHEROKEE, OK 73728-2545
(580) 596-2800
(580) 596-2805
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7730
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101Y00000X
—
OK
Enumeration date
08/13/2018
Last updated
02/25/2025
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