Individual
DR. BARRY LEE OGLESBEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2126 N EAGLE RD STE 120, MERIDIAN, ID 83646-6406
(208) 391-3534
Mailing address
699 E STATE ST APT H103, EAGLE, ID 83616-5999
(505) 979-3669
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1774
ID
Other
Enumeration date
04/24/2015
Last updated
12/08/2017
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