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NPI Code Detail

MEDICARE: JOHN C IGWE DO, PHD

MEDICARE: JOHN C IGWE DO, PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist PhysicianOS024620PA
2208M00000XHospitalist Physician34.015650OH

General Provider Information

NPI Number : 1316443724
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN C IGWE DO, PHD
Provider Business Mailing Address
First Line : 1044 BELMONT AVE
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44504-1006
Country : US
Telephone Number : 330-480-7320
Fax Number : 330-729-1591
Provider Business Practice Location Address
First Line : 1044 BELMONT AVE
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44504-1006
Country : US
Telephone Number : 330-480-7320
Fax Number : 330-729-1591
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2018
Last Update Date : 06/02/2026

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