Individual
DR. SHANNA RENEE OGDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807-5210
(417) 269-6000
Mailing address
1000 E PRIMROSE ST, STE 520, SPRINGFIELD, MO 65807-5180
(417) 861-9035
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2014006556
MO
207L00000X
Anesthesiology Physician
P1800
TX
Other
Enumeration date
04/14/2009
Last updated
04/17/2019
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