Individual
TOBORE GODWIN KOKORICHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 W 21ST ST, CLOVIS, NM 88101-4086
(575) 935-1625
(575) 935-1626
Mailing address
2001 W 21ST ST, CLOVIS, NM 88101-4086
(575) 935-1625
(575) 935-1626
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD20040599
NM
207R00000X
Internal Medicine Physician
MT1768748
PA
207R00000X
Internal Medicine Physician
Primary
R1567
TX
208M00000X
Hospitalist Physician
R1567
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72821761
—
NM
Enumeration date
08/31/2005
Last updated
11/12/2024
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