Individual
JOHN M OGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
PRESBYTERIAN HOSPITAL, PMG PEDIATRIC URGENT CARE, ALBUQUERQUE, NM 87102
(505) 841-1819
(505) 724-7673
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2003-0612
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29639051
—
NM
Enumeration date
12/07/2005
Last updated
09/12/2008
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