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Individual

DR. ODEY CHUKWUEMEKA UKPO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1104 N MISSION RD, LOS ANGELES, CA 90033-1017
(323) 343-0512
Mailing address
1104 N MISSION RD, LOS ANGELES, CA 90033-1017

Taxonomy

Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
A129278
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2009012284
MO
390200000X
Student in an Organized Health Care Education/Training Program
NM

Other

Enumeration date
07/08/2009
Last updated
09/16/2015
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