Individual
DR. JUSTIN WARREN HOGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2500 CHANDLER RD, MUSKOGEE, OK 74403-5003
(918) 683-3937
(918) 683-3945
Mailing address
2500 CHANDLER RD, MUSKOGEE, OK 74403-5003
(918) 683-3937
(918) 683-3945
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2453
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200066920A
—
OK
Enumeration date
01/28/2008
Last updated
05/27/2008
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