Individual
EKOKOBE FONKEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
925 E MCDOWELL RD, PHOENIX, AZ 85006
(480) 256-6444
(480) 256-3682
Mailing address
925 E MCDOWELL RD, PHOENIX, AZ 85006-2502
(480) 256-6444
(480) 256-3682
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
011473
AZ
2084N0400X
Neurology Physician
345648
LA
2084N0400X
Neurology Physician
81368
WI
2084N0400X
Neurology Physician
Primary
OS024604C
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538359534
—
WI
Enumeration date
07/26/2007
Last updated
04/21/2026
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