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NPI Code Detail

MEDICARE: UCHENNA OBIOMA OKORIE BHRS

MEDICARE: UCHENNA OBIOMA OKORIE BHRS
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
1103TR0400XRehabilitation Psychologist

General Provider Information

NPI Number : 1336426402
Entity Type Code : Individual
Provider Name (Legal Business Name) : UCHENNA OBIOMA OKORIE BHRS
Provider Business Mailing Address
First Line : 12500 ABBOTTS WAY
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73142-4509
Country : US
Telephone Number : 405-470-0556
Fax Number :
Provider Business Practice Location Address
First Line : 1609 GREENBRIAR PL
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73159-7640
Country : US
Telephone Number : 405-376-3683
Fax Number : 405-735-3524
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2011
Last Update Date : 11/03/2011

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Directions to “ UCHENNA OBIOMA OKORIE BHRS” Practice Location

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