Individual
DR. SHANE R OGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
464 N JEFFERSON AVE, LEBANON, MO 65536-2742
(417) 532-9166
Mailing address
103 ICHORD AVE, STE B, WAYNESVILLE, MO 65583-5402
(417) 532-9166
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2012013169
MO
Other
Enumeration date
05/10/2012
Last updated
01/16/2017
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