Most Relevant Information
Provider Data
| NPI Number: | 1003176579 |
| Provider Name: | FIDEL NWABUEZE-OGBO |
| Entity Type: | Individual |
| Taxonomy Code: | 246ZE0600X |
| Specialty: | Specialist/Technologist, Other |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/18/2012 |
| Last Updated: | 05/18/2012 |
Provider Practice Location
13 S TEJON ST
STE 501
COLORADO SPRINGS
CO
809031513
Practice Location Phone/Fax
| Phone: | 8662268576 |
| Fax: | 8666178910 |
Provider Mailing Location
1220 HARDING AVE
HERSHEY
PA
170331228
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |