Individual
JOHN OGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2861 W 26TH ST, ERIE, PA 16506-3064
(814) 835-6695
(814) 835-6699
Mailing address
2861 W 26TH ST, ERIE, PA 16506-3064
(814) 835-6695
(814) 835-6699
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA060036
PA
363AM0700X
Medical Physician Assistant
MA060036
PA
Other
Enumeration date
07/18/2018
Last updated
02/21/2022
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