Individual
VICTOR A NWACHUKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PC
Contact information
Practice address
1618 E PINE ST, SILVER CITY, NM 88061
(575) 388-1561
(575) 388-9952
Mailing address
1618 E PINE ST, SILVER CITY, NM 88061
(575) 388-1561
(575) 388-9952
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
R33612
NM
207V00000X
Obstetrics & Gynecology Physician
Primary
2000254
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
850480646
TAX ID #
NM
05
—
B5081
—
NM
Enumeration date
06/27/2005
Last updated
05/03/2021
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