Individual
CHUBA BOSA ONONYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1917 SOUTH CRISMON ROAD, MESA, AZ 85209
(480) 610-7100
(480) 610-7115
Mailing address
6642 E BASELINE RD STE 103, MESA, AZ 85206-4436
(480) 218-7800
(480) 912-2399
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23372
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341678
—
AZ
Enumeration date
05/05/2006
Last updated
05/31/2018
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