Provider Demographics
NPI:1962438267
Name:OGLE, ABNA A (MD)
Entity type:Individual
Prefix:
First Name:ABNA
Middle Name:A
Last Name:OGLE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1836 LACKLAND HILL PKWY
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63146-3572
Mailing Address - Country:US
Mailing Address - Phone:314-989-0300
Mailing Address - Fax:314-810-1399
Practice Address - Street 1:6420 CLAYTON RD
Practice Address - Street 2:6TH FLOOR
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63117-1811
Practice Address - Country:US
Practice Address - Phone:314-768-5205
Practice Address - Fax:314-768-5315
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2007-10-22
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Provider Licenses
StateLicense IDTaxonomies
MO104464208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation