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Dr. Ikemefuna Ikem Ezedi, DO
General Practice Physician in San Diego, California
NPI 1255745626

Ikemefuna Ikem Ezedi is a General Practice Physician based in San Diego, CA. Ikemefuna Ikem Ezedi practices in San Diego, CA and has the professional credentials of DO. The NPI Number for Ikemefuna Ikem Ezedi is 1255745626 and holds a License No. 0102204201 (California).

The current practice location address for Ikemefuna Ikem Ezedi is 34800 Bob Wilson Dr Dept Of, San Diego, CA and can be reached out via phone at 619-532-9795.

Location: 34800 Bob Wilson Dr Dept Of, San Diego, CA, 92134-1098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255745626
Provider Name
Ikemefuna Ikem Ezedi
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
34800 Bob Wilson Dr Dept Of, San Diego, CA, 92134-1098
Phone Number
619-532-9795
Fax Number
Provider Enumeration Date
06/13/2014
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
34800 Bob Wilson Dr Dept Of
City
San Diego
State
California
Zip
92134-1098
Phone Number
619-532-9795
Fax Number
person
Provider Business Mailing Address Details
Address
34800 Bob Wilson Dr Dept Of
City
San Diego
State
California
Zip
92134-1098
Phone Number
619-532-9795
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
0102204201 (Virginia)
Definition
Definition to come...
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