Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 11766 | ND |
N | 111NI0900X | Internist | 11766 | ND |
Y | 207RG0100X | Gastroenterologist | 11766 | ND |
NPI | 1013970482 |
---|---|
Provider Name | Dr. Emuejevoke Joseph Okoh |
First Address | Fargo, ND 58107-2168 |
Second Address | Fargo, ND 58102-3641 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2006 |
Last Update Date | 16/08/2021 |