Individual
UTIBE JOHN NDEBBIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBCH
Contact information
Practice address
225 E WASHINGTON AVE, JONESBORO, AR 72401-3111
(870) 207-4100
Mailing address
3624 LAKE POINTE CV, JONESBORO, AR 72404-7194
(832) 773-2747
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
58726
KY
207R00000X
Internal Medicine Physician
Primary
E-15668
AR
208M00000X
Hospitalist Physician
01094179A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100974300
—
KY
Enumeration date
04/07/2019
Last updated
02/11/2025
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