Individual
MS. ANDREA UZUEGBUNEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
46 E 15TH ST, EDMOND, OK 73013-4301
(405) 844-5210
Mailing address
2208 NW 173RD ST, EDMOND, OK 73012-7146
(269) 589-9049
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2639
OK
Other
Enumeration date
06/01/2016
Last updated
06/22/2022
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