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Individual

DR. JOSIAH O EKUNNO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11125 DUNN ROAD, SUITE 202, SAINT LOUIS, MO 63136
(314) 355-6218
(314) 355-1092
Mailing address
PO BOX 410858, SAINT LOUIS, MO 63141
(314) 355-6218
(314) 355-1092

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
35803
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200927101
MO
Enumeration date
10/10/2006
Last updated
07/12/2010
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