Individual
DR. OWORI BWIRE MANG'ENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(720) 891-8317
Mailing address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(720) 891-8317
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101274542
VA
2084N0400X
Neurology Physician
036173178
IL
Other
Enumeration date
05/18/2017
Last updated
04/14/2025
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