Individual
GODWIN C IZUEGBUNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8910 N 43RD AVE STE 104, GLENDALE, AZ 85302-5340
(602) 595-2986
(602) 595-3041
Mailing address
44047 N 43RD AVE, PHOENIX, AZ 85087-6100
(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
—
100504308
—
NV
05
—
793837
—
AZ
01
—
AZ0758850
BCBS OF AZ
AZ
01
—
P00160135
RAILROAD MEDICARE
CA
01
—
XPY201416
MEDI CAL
CA
Enumeration date
04/20/2006
Last updated
09/24/2025
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