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Organization
PATIENCE C ONUOHA DO PC
Active
Organization
PATIENCE C ONUOHA DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATIENCE C ONUOHA D.O. (SOLE OWNER)
(973) 789-1443
Entity
Organization
Contact information
Practice address
532 1ST ST NW, BRITT, IA 50423-1227
(702) 453-3799
(702) 453-5741
Mailing address
4319 S NATIONAL AVE # 302, SPRINGFIELD, MO 65810-2607
(702) 453-3799
(702) 453-5741
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO-04674
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO-04674
MEDICAL LICENSE
IA
Enumeration date
10/08/2015
Last updated
10/08/2015
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