Individual
DR. OWHOFASA AGBEDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MPH
Contact information
Practice address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 589-3000
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7226
(920) 445-7229
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
69590
WI
207RH0003X
Hematology & Oncology Physician
Primary
036-168299
IL
Other
Enumeration date
05/09/2015
Last updated
04/11/2024
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