Individual
PETER EJIOFOR UGWOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 OAK GROVE RD, POPLAR BLUFF, MO 63901-1573
(573) 776-2000
(573) 776-9086
Mailing address
5307 PARADISE COVE LN, KATY, TX 77493-8158
(573) 776-9493
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TEMPORARY
MO
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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