Individual
THEODORE EDWARD OGILVIE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7949 E ACOMA DR, SCOTTSDALE, AZ 85260-6904
(530) 515-5814
Mailing address
7949 E ACOMA DR, SCOTTSDALE, AZ 85260-6904
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-009253
AZ
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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