Individual
CHIMEZIE LEON AZUOGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
21601 76TH AVE W, EDMONDS, WA 98026-7507
(480) 242-6322
Mailing address
21601 76TH AVE W, EDMONDS, WA 98026-7507
(480) 242-6322
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OP61559281
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2019
Last updated
06/21/2024
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