Organization
OFOHA, M.D. CLINIC, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH O OFOHA M.D. (OWNER)
(340) 714-5800
Entity
Organization
Contact information
Practice address
9202 VITRACO PARK, SUITE 13, ST THOMAS, VI 00802
(340) 714-5800
Mailing address
PO BOX 12199, ST THOMAS, VI 00801-5199
(340) 714-5800
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1046
VI
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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