Individual
OBOMA STEVE ASEMOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
206 S 1ST ST, MC GEHEE, AR 71654-2339
(870) 222-3644
(870) 222-3682
Mailing address
PO BOX 725, DUMAS, AR 71639-0725
(870) 382-4220
(870) 382-6636
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
R4419
AR
208D00000X
General Practice Physician
Primary
R4419
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122216001
—
AR
Enumeration date
08/17/2005
Last updated
03/28/2013
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