Individual
DR. TOBE SAMUEL MOMAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2913 DESIARD ST, MONROE, LA 71201-7207
(318) 651-9914
(318) 388-0948
Mailing address
PO BOX 7495, MONROE, LA 71211-7495
(318) 388-1250
(318) 388-0948
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01067928A
IN
207Q00000X
Family Medicine Physician
Primary
203851
LA
207Q00000X
Family Medicine Physician
24745
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05458767
—
MS
05
—
2120328
—
LA
Enumeration date
05/05/2010
Last updated
02/09/2017
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