Individual provider · Type 1 NPI

Peter Ejiofor Ugwoke

Student in an Organized Health Care Education/Training Program · Poplar Bluff, MO

NPI number 1891635280 Active

Practice location

3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573

Call (573) 776-2000 Map

Fax (573) 776-9086

Mailing address

5307 Paradise Cove Ln
Katy, TX 77493-8158

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XTEMPORARY (MO)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1891635280

Peter Ejiofor Ugwoke's National Provider Identifier is 1891635280, issued on Mar 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Poplar Bluff, MO. The record was last updated on Mar 30, 2026.