Individual
MR. MILTON ODIWUOR TOGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
RR 2 BOX 4400, GATESVILLE, TX 76597-0001
(254) 865-6663
Mailing address
5210 BAGBY AVE APT 536, WACO, TX 76711-2313
(817) 658-5719
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA07872
TX
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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