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EJIRO EDWARD UGHOVWA MD

>> Emergency Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1770521536

Individual Registrant:
 EJIRO EDWARD UGHOVWA MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
108 N 6TH ST  KINDER, LA 70648-3519 US
Tel: 337-738-9494  Fax: --

Contact information for business:
3716 WOODSEND DR  SULPHUR, LA 70665-8654 US
Tel: 917-294-3465  Fax: --

Registration Information:
NPI: 1770521536
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207P00000XAllopathic & Osteopathic Physicians
Emergency Medicine
LA14354R

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1103985LA05




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