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Individual

DR. CHIBUZO ONYEZE UKAEGBU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Contact information

Practice address
3885 FOOTHILLS RD, SUITE B, LAS CRUCES, NM 88011-4672
(575) 556-9837
(575) 652-3213
Mailing address
PO BOX 13969, LAS CRUCES, NM 88013-3969
(575) 652-3213

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD 2008-0255
NM
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
MD2008-0255
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
50538756
NM
Enumeration date
09/10/2007
Last updated
06/19/2018
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