Individual
ONYEMEZE AZUOGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 S DOBSON RD, MESA, AZ 85202
(480) 456-9500
(480) 820-7623
Mailing address
PO BOX 7127, PHOENIX, AZ 85011-7127
(480) 456-9500
(480) 820-7623
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
27367
AZ
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
27367
AZ
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
P4732
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
476722
—
AZ
01
—
582573YKT8
MEDICARE
TX
01
—
8GV655
BCBS TX
TX
Enumeration date
12/27/2005
Last updated
07/21/2022
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