Individual
DR. INNOCENT CHUKWUMA EZENWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2115 GREEN VISTA DR STE 101, SPARKS, NV 89431-8516
(775) 557-4900
(775) 557-7240
Mailing address
2115 GREEN VISTA DR STE 101, SPARKS, NV 89431-8516
(775) 557-4900
(775) 557-7240
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
042-0012250
VT
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
16000
NV
Other
Enumeration date
03/22/2007
Last updated
11/05/2021
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