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Organization

FREEDOM IKEDIONWU, MD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FREEDOM KENE IKEDIONWU M.D. (PRESIDENT)
(580) 353-5522
Entity
Organization

Contact information

Practice address
1819 W GORE BLVD, LAWTON, OK 73501-3614
(580) 353-5522
(580) 248-3042
Mailing address
1819 W GORE BLVD, LAWTON, OK 73501-3614
(580) 353-5522
(580) 248-3042

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
11/23/2010
Last updated
11/23/2010
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