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Dr. Temidayo Olugbenga Odugbesan, MD,SA-C
Student in an Organized Health Care Education/Training Program in Montgomery, Alabama
NPI 1477909448

Temidayo Olugbenga Odugbesan is a Student in an Organized Health Care Education/Training Program based in Montgomery, AL. Temidayo Olugbenga Odugbesan practices in Montgomery, AL and has the professional credentials of MD,SA-C. The NPI Number for Temidayo Olugbenga Odugbesan is 1477909448 and holds a License No. 238.000495 (Alabama).

The current practice location address for Temidayo Olugbenga Odugbesan is 6117 Boardwalk Blvd Apt J, Montgomery, AL and can be reached out via phone at 872-806-4250.

Location: 6117 Boardwalk Blvd Apt J, Montgomery, AL, 36106-1111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477909448
Provider Name
Temidayo Olugbenga Odugbesan
Credential
MD,SA-C
Provider Entity Type
Individual
Gender
Male
Address
6117 Boardwalk Blvd Apt J, Montgomery, AL, 36106-1111
Phone Number
872-806-4250
Fax Number
Provider Enumeration Date
05/10/2016
Last Update Date
07/20/2024
institution
Provider Business Practice Location Address Details
Address
6117 Boardwalk Blvd Apt J
City
Montgomery
State
Alabama
Zip
36117-2812
Phone Number
872-806-4250
Fax Number
person
Provider Business Mailing Address Details
Address
6117 Boardwalk Blvd Apt J
City
Montgomery
State
Alabama
Zip
36117-2812
Phone Number
872-806-4250
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
238.000495 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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