Individual
BRENT BURTON OGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
206 S MULBERRY ST, SUITE B, MOUNT VERNON, OH 43050-3331
(740) 397-3553
(740) 392-4158
Mailing address
206 S MULBERRY ST, SUITE B, MOUNT VERNON, OH 43050-3331
(740) 397-3553
(740) 392-4158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-00-7301-0
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2267505
—
OH
Enumeration date
07/06/2006
Last updated
01/25/2023
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