Individual provider · Type 1 NPI
Temidayo Olugbenga Odugbesan, MD, SA-C
Student in an Organized Health Care Education/Training Program · Montgomery, AL
Practice location
6117 Boardwalk Blvd Apt J
Montgomery, AL 36117-2812
Mailing address
2024 Chestnut St
Montgomery, AL 36106-1111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 238.000495 (IL) |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: 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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About NPI 1477909448
Temidayo Olugbenga Odugbesan, MD, SA-C's National Provider Identifier is 1477909448, issued on May 10, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Montgomery, AL. The record was last updated on Jun 13, 2024.