Individual
DR. OSAMUYI IDUBOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
725 GLENWOOD DR STE E500, CHATTANOOGA, TN 37404-1138
(423) 495-2635
(423) 495-2638
Mailing address
PO BOX 80426, CHATTANOOGA, TN 37414-7426
(423) 495-6841
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
6411
TN
Other
Enumeration date
03/26/2019
Last updated
09/29/2025
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