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Individual

NDIDIAMAKA UZOMA OBIESIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3330 N 2ND ST STE 401, PHOENIX, AZ 85012-2371
(602) 254-1136
(602) 279-1720
Mailing address
530 E MCDOWELL RD STE 107-609, PHOENIX, AZ 85004-1549
(602) 790-4108
(623) 516-9319

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
30584
AZ
207RI0200X
Infectious Disease Physician
Primary
30584
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
763062
AZ
Enumeration date
09/27/2005
Last updated
12/02/2014
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