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NPI Code Detail

MEDICARE: DR. VICTORIA EZINNE OJUKWU M.D.

MEDICARE:  DR. VICTORIA EZINNE OJUKWU  M.D.
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1831986470
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VICTORIA EZINNE OJUKWU M.D.
Provider Business Mailing Address
First Line : 311 W 14TH STREET
Second Line :
City : PUEBLO
State : CO
Zip : 81003
Country : US
Telephone Number : 719-595-7585
Fax Number : 719-595-7589
Provider Business Practice Location Address
First Line : 311 W 14TH STREET
Second Line :
City : PUEBLO
State : CO
Zip : 81003
Country : US
Telephone Number : 719-595-7585
Fax Number : 719-595-7589
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2025
Last Update Date : 12/22/2025

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Directions to “ DR. VICTORIA EZINNE OJUKWU M.D.” Practice Location

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