Individual
DR. PAUL RICHARD OGERSHOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1150 7TH ST, WAYNESBURG, PA 15370-1660
(724) 627-2395
(724) 627-2610
Mailing address
125 N 6TH ST, CLARKSBURG, WV 26301-2665
(304) 624-7200
(304) 554-0444
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
18887
WV
207K00000X
Allergy & Immunology Physician
Primary
MD060665L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001689710
—
PA
05
—
0016897100001
—
PA
05
—
0081679000
—
WV
05
—
3810006540
—
WV
Enumeration date
08/07/2006
Last updated
01/23/2015
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