Organization
SOUTHWESTERN PULMONOLOGY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FESTUS A NDUKWU MD (MD)
(417) 717-0410
Entity
Organization
Contact information
Practice address
2727 E 32ND ST, STE 3, JOPLIN, MO 64804-3164
(417) 717-0410
(417) 717-0408
Mailing address
PO BOX 207, LOWELL, AR 72745-0207
(417) 717-0410
(417) 717-0408
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
2007019792
MO
Other
Enumeration date
06/17/2010
Last updated
01/22/2015
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