Individual
DR. IFEANYI IZEDIUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2770 MAIN ST STE 284, FRISCO, TX 75033-4527
(469) 929-1199
(469) 582-0094
Mailing address
2770 MAIN ST STE 284, FRISCO, TX 75033-4527
(469) 929-1199
(469) 582-0094
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2013002800
MO
2084P0800X
Psychiatry Physician
Primary
Q3017
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/01/2009
Last updated
10/10/2017
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