Organization
WOGU & WOGU NEUROSURGICAL AND SPINE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIJAH UZOMA WOGU DO (NEUROSURGEON)
(951) 288-0061
Entity
Organization
Contact information
Practice address
620 CALIFORNIA BLVD STE J, SAN LUIS OBISPO, CA 93401-2598
(805) 543-9648
(805) 543-1879
Mailing address
1655 DALIDIO DR UNIT 4156, SAN LUIS OBISPO, CA 93403-7036
(805) 543-9648
(805) 543-1879
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
20A9318
CA
Other
Enumeration date
07/15/2014
Last updated
09/14/2018
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