Organization
GODWIN IZUEGBUNAM MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDITH C IZUEGBUNAM (ADMINISTRATOR)
(602) 595-2986
Entity
Organization
Contact information
Practice address
8910 N 43RD AVE STE 104, GLENDALE, AZ 85302-5340
(602) 595-2986
(602) 595-3041
Mailing address
1816 W PARNELL DR, PHOENIX, AZ 85085-8020
(602) 595-2986
(602) 595-3041
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
31461
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
793837
—
AZ
Enumeration date
06/18/2006
Last updated
09/24/2025
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