Individual
DR. RONALD NELSON OGLESBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1551 NORTH 9TH STREET, BROKEN ARROW, OK 74012-8898
(918) 355-7949
(918) 355-7909
Mailing address
1551 N 9TH ST, BROKEN ARROW, OK 74012-8898
(918) 355-7949
(918) 355-7909
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2888
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100136870A
—
OK
Enumeration date
07/07/2006
Last updated
05/06/2014
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