Individual
DR. CHUKWUKADIBIA J ODUNUKWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5604 SW LEE BLVD, SUITE 210, LAWTON, OK 73505-9681
(580) 531-6462
(580) 531-6426
Mailing address
PO BOX 8679, BELFAST, ME 04915-8679
(580) 531-6465
(580) 531-6426
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23714
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1123714
—
OK
01
—
P00769476
MEDICARE RAILROAD
OK
Enumeration date
02/10/2006
Last updated
09/22/2011
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