| Dr.bonaventure C. Okoro Md Inc | |
|
5542 Airport Highway Toledo OH 43615-7304 | |
| (419) 865-6522 | |
| (419) 865-6523 |
| Full Name | Dr.bonaventure C. Okoro Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5542 Airport Highway, Toledo, Ohio |
| Authorized Official Name and Position | Bonaventure C Okoro (PRESIDENT) |
| Authorized Official Contact | 4198656522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr.bonaventure C. Okoro Md Inc 5542 Airport Hwy Toledo OH 43615-7304 Ph: (419) 865-6522 | Dr.bonaventure C. Okoro Md Inc 5542 Airport Highway Toledo OH 43615-7304 Ph: (419) 865-6522 |
| NPI Number | 1073847091 |
|---|---|
| Provider Enumeration Date | 09/23/2009 |
| Last Update Date | 11/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073847091 | NPI | - | NPPES |
| 2008482 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | B05196541 (Ohio) | Primary |
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