Individual
GABRIEL U. OGBONNAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2919 S ELLSWORTH RD, SUITE # 124, MESA, AZ 85212-2164
(480) 361-3636
(480) 361-2525
Mailing address
2919 S ELLSWORTH RD, SUITE # 124, MESA, AZ 85212-2164
(480) 361-3636
(480) 361-2525
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32142
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
818510
—
AZ
Enumeration date
07/21/2005
Last updated
09/25/2008
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