Individual
DR. AGBANI IBINABO DAGOGO-JACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
9636 MOURNING DOVE CV, GERMANTOWN, TN 38139-5668
(901) 271-4900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD108333
MO
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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