Organization
JOHN NWORA MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN O NWORA MD (CEO)
(573) 333-4441
Entity
Organization
Contact information
Practice address
1117 WARD AVE, CARUTHERSVILLE, MO 63830-2622
(573) 333-4441
(573) 333-5142
Mailing address
1117 WARD AVE, PO BOX 200, CARUTHERSVILLE, MO 63830-2622
(573) 333-4441
(573) 333-5142
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
106331
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207679200
—
MO
Enumeration date
09/20/2007
Last updated
07/13/2010
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