Individual
DR. MATTHEW DAVID OGLESBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4200 HOUMA BLVD, METAIRIE, LA 70006-2970
(504) 503-4331
(504) 503-4341
Mailing address
18 CORAL CIR, HATTIESBURG, MS 39402-9575
(601) 606-9790
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
329956
LA
208M00000X
Hospitalist Physician
25134
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00127179
—
MS
05
—
2361511
—
LA
Enumeration date
04/15/2014
Last updated
03/04/2022
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