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Organization

OGE FAMILY MEDICAL CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN T OGE M.D. (OWNER)
(870) 451-9199
Entity
Organization

Contact information

Practice address
410 N MAIN ST, SUITE 2, NASHVILLE, AR 71852-2006
(870) 451-9199
(870) 451-9442
Mailing address
PO BOX 905, NASHVILLE, AR 71852-0905
(870) 451-9199
(870) 451-9442

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E3925
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
154132002
AR
01
5F105
BCBS
AR
01
770304202
BREASTCARE
AR
Enumeration date
05/03/2006
Last updated
06/06/2012
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