Individual
MR. NKEM AZIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
395 W COUGAR BLVD STE 503, PROVO, UT 84604-3323
(801) 357-7081
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35.140330
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
13806260-1205
UT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35.140330
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2013
Last updated
04/10/2026
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