Individual
DR. WILLIAM R.M. OGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1035 BELLEVUE AVE STE 500, SAINT LOUIS, MO 63117-1843
(314) 647-8269
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
109948
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208236000
—
MO
Enumeration date
10/12/2006
Last updated
10/26/2020
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