Individual
DR. OSAREME ANTHONY IRIVBOGBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
7557B DANNAHER DR STE 225, POWELL, TN 37849-3568
(865) 647-5800
(865) 647-5979
Mailing address
7557B DANNAHER DR STE 225, POWELL, TN 37849-3568
(865) 647-5800
(865) 647-5979
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
MD54620
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q023966
—
TN
Enumeration date
07/25/2007
Last updated
09/14/2020
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