Individual
DR. EMMANUEL U OBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1011 14TH AVE NW, ARDMORE, OK 73401-1828
(580) 220-6132
(580) 220-6772
Mailing address
1011 14TH AVE NW, ARDMORE, OK 73401-1828
(580) 220-6132
(580) 220-6772
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36091
OK
Other
Enumeration date
03/20/2017
Last updated
08/28/2020
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