Dr. Enyonam Agamasu, M.D.
Obstetrics & Gynecology in Mesa, AZ. Individual provider (NPI-1).
NPI number1295023935
StatusActive
Last updated in NPPESMay 17, 2023
Details
- NPI
- 1295023935
- Entity type
- Individual (NPI-1)
- Name
- Dr. Enyonam Agamasu
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2011
- Certification date
- May 17, 2023
- Last updated
- May 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 57816 | AZ | Yes |
Practice location
1705 W Main StMesa, AZ 85201-6920
Phone 480-964-2273
Mailing address
3033 N Central Ave Ste 145Phoenix, AZ 85012-2808
Phone 623-583-3001 · Fax 623-974-6721
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