| Ofoha, M.d. Clinic, Llc. | |
|
9202 Vitraco Park Suite 13 St Thomas VI 00802 | |
| (340) 714-5800 | |
| Not Available |
| Full Name | Ofoha, M.d. Clinic, Llc. |
|---|---|
| Speciality | Clinic/center |
| Location | 9202 Vitraco Park, St Thomas, Virgin Island |
| Authorized Official Name and Position | Kenneth O Ofoha (OWNER) |
| Authorized Official Contact | 3407145800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ofoha, M.d. Clinic, Llc. Po Box 12199 St Thomas VI 00801-5199 Ph: (340) 714-5800 | Ofoha, M.d. Clinic, Llc. 9202 Vitraco Park Suite 13 St Thomas VI 00802 Ph: (340) 714-5800 |
| NPI Number | 1194029306 |
|---|---|
| Provider Enumeration Date | 01/03/2011 |
| Last Update Date | 01/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194029306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1046 (Virgin Island) | Primary |
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