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Gogo-ogute Emmanuel Ibodeng, MD
Student in an Organized Health Care Education/Training Program in Fairhope, Alabama
NPI 1831862150

Gogo-ogute Emmanuel Ibodeng is a Student in an Organized Health Care Education/Training Program based in Fairhope, AL. Gogo-ogute Emmanuel Ibodeng practices in Fairhope, AL and has the professional credentials of MD. The NPI Number for Gogo-ogute Emmanuel Ibodeng is 1831862150 and holds a License No. (Alabama).

The current practice location address for Gogo-ogute Emmanuel Ibodeng is 750 Morphy Ave, Fairhope, AL and can be reached out via phone at 251-279-1529.

Location: 750 Morphy Ave, Fairhope, AL, 36532-1812
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831862150
Provider Name
Gogo-ogute Emmanuel Ibodeng
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
750 Morphy Ave, Fairhope, AL, 36532-1812
Phone Number
251-279-1529
Fax Number
Provider Enumeration Date
08/02/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NA 01 AL NA
institution
Provider Business Practice Location Address Details
Address
750 Morphy Ave
City
Fairhope
State
Alabama
Zip
36532-1812
Phone Number
251-279-1529
Fax Number
person
Provider Business Mailing Address Details
Address
750 Morphy Ave
City
Fairhope
State
Alabama
Zip
36532-1812
Phone Number
251-279-1529
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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