Individual
PETER N AGOMUO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2810 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70506-5906
(409) 466-3626
(337) 989-6732
Mailing address
PO BOX 12553, BEAUMONT, TX 77726-2553
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
K9206
TX
Other
Enumeration date
06/22/2005
Last updated
07/08/2007
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