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Individual

OBINNA O ADIBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2100 ERWIN RD, DURHAM, NC 27705-3941
(919) 684-8111
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 684-8111
(919) 620-4921

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0433069
KS
208600000X
Surgery Physician
2009023874
MO
2086S0120X
Pediatric Surgery Physician
Primary
2011-01098
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
81323
ND
Enumeration date
05/02/2008
Last updated
11/25/2014
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