Individual provider · Type 1 NPI
James Michael Ogletree, PA-C
Surgical Physician Assistant · Washington, DC
NPI number
1487864286
Active
Practice location
6900 Georgia Ave NW, Bldg 2, Room 4655 (ct Surgery)
Washington, DC 20307-0003
Fax (202) 782-8253
Mailing address
PO Box 930
Annandale, VA 22003-0930
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | C-1500 (MD) |
Surgical Physician Assistant: Definition to come...
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About NPI 1487864286
James Michael Ogletree, PA-C's National Provider Identifier is 1487864286, issued on May 23, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Washington, DC. The record was last updated on Jul 8, 2007.