Provider Demographics
NPI:1457346652
Name:ATTIOGBE, FRANCIS K (MD)
Entity Type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:K
Last Name:ATTIOGBE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3039 MEMORIAL CT
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-9127
Mailing Address - Country:US
Mailing Address - Phone:575-522-4145
Mailing Address - Fax:575-552-2523
Practice Address - Street 1:3039 MEMORIAL CT
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-9127
Practice Address - Country:US
Practice Address - Phone:575-522-4145
Practice Address - Fax:575-522-5236
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-13
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM99-159207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM201036645Medicaid
NM395-26526Medicaid
601380500OtherDEPARTMENT OF LABOR
NMNM019B09OtherBCBS
NMP00156803OtherRAIL ROAD MEDICARE
NM395-26526Medicaid
NMNM019B09OtherBCBS