Individual
CHARLES MICHAEL OGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
400 NE 12TH ST, GUYMON, OK 73942
(580) 338-2637
(580) 338-2652
Mailing address
PO BOX 1467, ENID, OK 73702-1467
(580) 338-2637
(580) 338-2652
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2645
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100101750A
—
OK
05
—
100101750B
—
OK
Enumeration date
07/20/2005
Last updated
04/14/2019
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