Individual
NICHOLAS G VIYUOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 E GRANT ST, MACOMB, IL 61455-3313
(309) 836-6937
(309) 836-6530
Mailing address
101 S PARK LN, ALTUS, OK 73521-5731
(580) 379-6140
(580) 379-6149
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036153809
IL
207V00000X
Obstetrics & Gynecology Physician
18368
MS
207V00000X
Obstetrics & Gynecology Physician
Primary
27537
OK
207V00000X
Obstetrics & Gynecology Physician
MD430772
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00259091
—
MS
05
—
152327001
—
AR
05
—
200278140A
—
OK
Enumeration date
08/30/2006
Last updated
05/08/2024
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