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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

OLUWAGBENGA SERRANO

Active Organization

OLUWAGBENGA SERRANO is a Gastroenterology organization located in LAKESIDE, Arizona. NPI 1104978600 is currently active in the NPPES registry. Verify at CMS.

Gastroenterology · LAKESIDE, AZ

Registration Details

NPI Number
1104978600
Provider Type
Organization
NPI Issued
Jan 17, 2007 (19.608342466981 yrs)
Last Updated
Jan 13, 2012
License
29877 (AZ)

Practice Information

Address
218 W WHITE MOUNTAIN BLVD
SUITE C
LAKESIDE, AZ, 859297013
Browse AZ providers · Browse ZIP 85929
Phone
9283673637
Fax
9283673638
Primary Specialty
Gastroenterology
207RG0100X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.