Individual
JOB SIEKEI MOGIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
611 W PARK, FAPC, URBANA, IL 61802
(217) 902-6954
(217) 902-7711
Mailing address
611 W PARK, FAPC, URBANA, IL 61802
(217) 902-6954
(217) 902-7711
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
94-09656
KS
207RC0000X
Cardiovascular Disease Physician
Primary
94-09656
KS
Other
Enumeration date
06/28/2018
Last updated
12/24/2024
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