Individual
UBONG UBOKUDOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
3200 VINE ST, CINCINNATI, OH 45220-2213
(513) 861-3100
Mailing address
23825 NORCREST DR, SOUTHFIELD, MI 48033-6823
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34.013468
OH
Other
Enumeration date
06/17/2015
Last updated
12/26/2023
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