Individual
ISIOMA OLADUNNI NOSEGBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1111 RONALD REAGAN PKWY, AVON, IN 46123-7085
(317) 779-7201
Mailing address
614 PARKWAY AVE, INDIANAPOLIS, IN 46203-1840
(317) 289-9235
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002864A
IN
Other
Enumeration date
11/16/2019
Last updated
11/16/2019
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