Individual
DR. EDO KODJO AVOCHINOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131
(505) 272-6331
Mailing address
2400 UNSER BLVD SE, ALBUQUERQUE, NM 87124-3392
(505) 253-1183
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2022-0995
NM
363A00000X
Physician Assistant
0129951
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
12/05/2008
Last updated
07/29/2022
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