Individual
GENE CHIBUCHIM OTUONYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3330 MASONIC DR, ALEXANDRIA, LA 71301-3841
(318) 483-4090
Mailing address
3330 MASONIC DR, ALEXANDRIA, LA 71301-3841
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
338732
LA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
338732
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2018
Last updated
10/03/2023
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