Individual
ELWOOD OGDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
255 EAST ST, SPRINGFIELD, OH 45505-1109
(937) 328-5300
(937) 322-4900
Mailing address
1101 E HIGH ST, SPRINGFIELD, OH 45505-1121
(937) 328-5300
(937) 322-4900
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
CDCA.162642
OH
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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