Doctor Name: | DR. JOHN WAMBO |
NPI Number: | 1366419079 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME44127 |
Business Practice Address: | 2202 State Ave Suite 207 Panama City, FL - 32405 |
Business Phone Number: | 8507854800 |
Business Fax Number: | 8507855001 |
Mailing Address: | 2202 State Ave, Suite 207 PANAMA CITY |
State: | FL |
Postal Code: | 32405 |
Phone Number: | 8507854800 |
Fax Number: | 8507855001 |
NPI Enumeration Date: | 03/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | ME44127 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |