Individual
JOHN C OGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
902 W WABASH AVE, ENID, OK 73701-7238
(580) 548-1367
Mailing address
PO BOX 5038, ENID, OK 73702-5038
(580) 548-1367
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
1529
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100104360A
—
OK
Enumeration date
07/20/2005
Last updated
09/08/2015
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