Individual provider · Type 1 NPI
Douglas Rayfield Ogburn, PA
Medical Physician Assistant · Jacksonville, FL
NPI number
1629322706
Active
Practice location
858 Monument Rd, Suite A
Jacksonville, FL 32225
Fax (904) 450-6369
Mailing address
4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA9106950 (FL) |
| Medical Physician Assistant Primary | 363AM0700X | PA9106950 (FL) |
Medical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1629322706
Douglas Rayfield Ogburn, PA's National Provider Identifier is 1629322706, issued on Oct 29, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Jacksonville, FL. The record was last updated on Apr 24, 2018.