Individual
DR. ELIJAH UZOMA WOGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
620 CALIFORNIA BLVD, J, SAN LUIS OBISPO, CA 93401-2541
(805) 543-4319
(805) 543-0446
Mailing address
1655 DALIDIO DR UNIT 4156, SAN LUIS OBISPO, CA 93403-7036
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
8239
SD
Other
Enumeration date
07/19/2007
Last updated
03/18/2016
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