SearchLouisiana101YM0800X

Idaibi Ogbanga, MA

NPI 1275998759 · on the registry since 2015 · sole proprietor

Practice

Address
2412 Sabine Dr
Alexandria, LA 71303
Phone
(318) 238-4030
Fax
(318) 787-5768
Clinicians at this address
2

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Male
Record last updated
2015-12-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana