Individual
DR. IFEANYI SAMUEL ORIZU SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 SOUTH BISHOP AVENUE, ROLLA, MO 65401
(573) 364-5600
(573) 364-9622
Mailing address
720 SOUTH BISHOP AVENUE, ROLLA, MO 65401
(573) 364-5600
(573) 364-9622
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2000158329
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204995401
—
MO
Enumeration date
07/26/2006
Last updated
04/03/2019
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