Individual
ALPHONSE RODERICK AGBODZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
245 MALLARD DR, MONROEVILLE, PA 15146-1147
(312) 374-1265
Mailing address
245 MALLARD DR, MONROEVILLE, PA 15146-1147
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP018818
PA
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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