Individual
NDIDIBUIKE N UKWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7303 ROGERS AVE, SUITE 200, FORT SMITH, AR 72903-4165
(479) 314-4810
Mailing address
7303 ROGERS AVE, SUITE 200, FORT SMITH, AR 72903-4165
(479) 314-4810
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E-6662
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183313001
—
AR
Enumeration date
07/13/2010
Last updated
10/08/2014
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