Individual
DR. DENNIS OGBEIDE IYEKEGBE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401
(540) 741-2500
Mailing address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101264656
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2014
Last updated
07/09/2018
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