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Individual

EDWARD M UCHIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-6054
(714) 456-5342
Mailing address
PO BOX 51342, LOS ANGELES, CA 90051-5642
(714) 456-6054
(714) 456-5342

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
041517
CT
208800000X
Urology Physician
Primary
C54951
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001415715
CT
01
P01305115
RAILROAD MEDICARE
CA
Enumeration date
12/02/2005
Last updated
09/25/2014
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