Individual
DR. CHIZOR J IWUCHUKWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
371 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703-5761
(573) 331-6710
Mailing address
371 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703-5761
(573) 331-6710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
230469
NY
207RI0011X
Interventional Cardiology Physician
Primary
2013025678
MO
390200000X
Student in an Organized Health Care Education/Training Program
43975
TN
Other
Enumeration date
09/28/2006
Last updated
03/13/2014
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