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Individual

DR. ALEXANDER IKEMEFUNA NGWUBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0920
(602) 933-2492
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814
(602) 933-1820

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
51102
AZ
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
51102
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
059874
AZ
Enumeration date
06/30/2008
Last updated
10/30/2017
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