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Individual

BRIAN T OGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
410 N MAIN ST, STE 2, NASHVILLE, AR 71852-2000
(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
154132001
AR
Enumeration date
06/16/2005
Last updated
01/28/2010
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