MEDICARE: MR. ERNEST UCHE ORIEH

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
1	171W00000X	Contractor		OK

General Provider Information

NPI Number	:	1023057908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ERNEST UCHE ORIEH

Provider Business Mailing Address
First Line	:	3545 NW 58TH ST
Second Line	:	SUITE 370
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4726
Country	:	US
Telephone Number	:	405-602-1806
Fax Number	:	405-602-1813

Provider Business Practice Location Address
First Line	:	3545 NW 58TH ST
Second Line	:	SUITE 370
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4726
Country	:	US
Telephone Number	:	405-602-1806
Fax Number	:	405-602-1813

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	07/09/2007

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Directions to “ MR. ERNEST UCHE ORIEH ” Practice Location

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