Individual
DR. HENRY-NORBERT O NDEKWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3805 W GORE BLVD, LAWTON, OK 73505-6334
(580) 581-1994
(580) 581-1285
Mailing address
3805 W 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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100046890A
—
OK
Enumeration date
09/14/2006
Last updated
08/28/2008
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