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Individual

DR. MATTHEW OGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
13999 W WAINWRIGHT DR STE 201, BOISE, ID 83713-1967
(208) 939-0775
Mailing address
13999 W WAINWRIGHT DR STE 201, BOISE, ID 83713-1967
(208) 939-0775
(208) 301-5004

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1518
ID

Other

Enumeration date
09/13/2012
Last updated
02/23/2024
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