Individual
PATRICK A. ORUWARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HEALTH WAY DR, POTOSI, MO 63664-1434
(573) 438-1899
Mailing address
200 HEALTH WAY DR, POTOSI, MO 63664-1434
(573) 438-1899
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-107861
IL
207R00000X
Internal Medicine Physician
15147
MO
2084P0800X
Psychiatry Physician
Primary
015147
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196690
BLUE CROSS BLUE SHIELD
—
05
—
205807233
—
MO
01
—
P00211249
RAILROAD MEDICARE
—
Enumeration date
09/16/2005
Last updated
11/13/2024
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