Individual
RICHARD LYLE OGLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3850 S NATIONAL AVE STE 300, SPRINGFIELD, MO 65807-5287
(417) 269-6170
Mailing address
1411 E PRIMROSE ST STE C, SPRINGFIELD, MO 65804-4377
(417) 882-1207
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
209015682
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200022835
—
MO
Enumeration date
07/15/2009
Last updated
08/19/2022
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