Leeanne Elizabeth Ogle, IDMT

Individual provider Active NPI Independent Duty Medical Technicians · Little Rock Afb, AR

NPI 1235600461 · NPPES record last updated Dec 16, 2018

Key facts

NPI
1235600461
Entity type
Individual (NPI type 1)
Primary specialty
Independent Duty Medical Technicians 1710I1003X
Practice address
1090 Arnold Dr
Little Rock Afb, AR 72099-4933
Phone
(501) 987-3080
NPI assigned
Dec 16, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Medical Technicians 1710I1003X Yes

Addresses

Primary practice location

1090 Arnold Dr
Little Rock Afb, AR 72099-4933

Mailing address

1090 Arnold Dr
Little Rock Afb, AR 72099-4933
Phone (501) 987-3080

Other providers in Little Rock Afb, AR

All providers in Little Rock Afb, AR · Independent Duty Medical Technicians in Arkansas

Sources for this page

Verify at the official NPI Registry.