Organization
JOSIAH EKUNNO MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSIAH O EKUNNO MD (PRESIDENT)
(314) 355-6218
Entity
Organization
Contact information
Practice address
11125 DUNN RD, SUITE 202, SAINT LOUIS, MO 63136-6132
(314) 355-6218
(314) 355-1092
Mailing address
11125 DUNN RD, SUITE 202, SAINT LOUIS, MO 63136-6132
(314) 355-6218
(314) 355-1092
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35803
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200927101
—
MO
Enumeration date
05/03/2010
Last updated
05/03/2010
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