Individual
DR. MARYANNE NJIDEKA EJIDIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.B.B.S.
Contact information
Practice address
1950 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3129
(303) 651-5111
(303) 678-4050
Mailing address
1950 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3129
(303) 651-5111
(303) 651-5111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD-42378
IA
208M00000X
Hospitalist Physician
17062
ND
208M00000X
Hospitalist Physician
Primary
CDR.0000828
CO
Other
Enumeration date
04/15/2014
Last updated
03/26/2025
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