Individual
DR. GEORGE AGYEKUM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-1389
Mailing address
5225 MAPLE AVE APT 4301, DALLAS, TX 75235-8449
(281) 704-6724
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0092186
MD
Other
Enumeration date
04/10/2016
Last updated
09/09/2021
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