Individual
DR. TEMIDAYO OLUGBENGA ODUGBESAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., SA-C
Contact information
Practice address
6117 BOARDWALK BLVD APT J, MONTGOMERY, AL 36117-2812
(872) 806-4250
Mailing address
2024 CHESTNUT ST, MONTGOMERY, AL 36106-1111
(334) 440-3061
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
238.000495
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/10/2016
Last updated
06/13/2024
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