Individual
DR. PRIMUS MBAWUIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 N CLIFTON ST, FORDYCE, AR 71742-3026
(870) 352-6300
Mailing address
13200 CHENAL PKWY, APT 221, LITTLE ROCK, AR 72211-5388
(314) 210-2075
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
E-13277
AR
208D00000X
General Practice Physician
Primary
E-13277
AR
208M00000X
Hospitalist Physician
E-13277
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2016
Last updated
08/05/2024
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