Organization
JOHN D OGRAM MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH B TEASLEY (BILLING SUPERVISOR)
(757) 414-8054
Entity
Organization
Contact information
Practice address
10150 ROGERS DRIVE, NASSAWADOX, VA 23413
(757) 442-2504
(757) 442-9099
Mailing address
PO BOX 993, NASSAWADOX, VA 23413-0993
(757) 442-2504
(757) 442-9099
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0101033854
VA
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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