Individual
DR. OBINNA P EGBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 900-9466
(800) 230-9466
Mailing address
PO BOX 11773, CHANDLER, AZ 85248-0013
(480) 907-7707
(480) 907-7097
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33582
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33582
LICENSE
AZ
05
—
930190
—
AZ
Enumeration date
04/07/2006
Last updated
11/05/2015
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