Individual
DR. SAMUEL E DAGOGO-JACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
880 MADISON AVE, MEMPHIS, TN 38103-3409
(901) 545-7275
(901) 545-6454
Mailing address
9636 MOURNING DOVE CV, MEMPHIS, TN 38139-5668
(901) 219-1728
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35658
TN
Other
Enumeration date
05/01/2006
Last updated
09/15/2021
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