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Individual
VITALIS O OJIEGBE
Active
Individual
VITALIS O OJIEGBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200200430
NC
207R00000X
Internal Medicine Physician
Primary
DOO65418
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1362V
BCBS
NC
05
—
891362V
—
MD
05
—
891362V
—
NC
01
—
P00217614
RAILROAD MEDICARE
NC
Enumeration date
08/08/2006
Last updated
10/10/2013
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