Individual
DR. OSASERE LAMBERT AGHEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
731 DALLAS AVE, SELMA, AL 36701-5452
(334) 872-4778
(334) 872-8646
Mailing address
731 DALLAS AVE, SELMA, AL 36701-5452
(334) 872-4778
(334) 872-8646
Taxonomy
Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
Primary
DO-644
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-39993
BCBS
AL
Enumeration date
12/12/2006
Last updated
07/09/2007
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