Individual
DR. ROBERT B OGESEN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15215 S 48TH ST, STE 152, PHOENIX, AZ 85044
(480) 704-8585
(480) 704-8668
Mailing address
15215 S 48TH ST, STE 152, PHOENIX, AZ 85044
(480) 704-8585
(480) 704-8668
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
20679
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123208001
—
AZ
Enumeration date
05/15/2008
Last updated
11/23/2016
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