Organization
HENRY-NORBERT NDEKWE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY-NORBERT O NDEKWE M.D. (CEO/MEDICAL DIRECTOR)
(580) 581-1994
Entity
Organization
Contact information
Practice address
3805 W GORE BLVD, LAWTON, OK 73505-6334
(580) 581-1994
(580) 581-1285
Mailing address
3805 WEST GORE BLVD, LAWTON, OK 73505-6334
(580) 581-1994
(580) 581-1285
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21147 OK
OK
Other
Enumeration date
03/26/2008
Last updated
08/28/2008
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