| Doctor Name: | FIDEL NWABUEZE-OGBO |
| NPI Number: | 1003176579 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 13 S Tejon St Ste 501 Colorado Springs, CO - 809031513 |
| Business Phone Number: | 8662268576 |
| Business Fax Number: | 8666178910 |
| Mailing Address: | 1220 Harding Ave, HERSHEY |
| State: | PA |
| Postal Code: | 170331228 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/18/2012 |
| NPI Last Update Date: | 05/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246ZE0600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Specialist/Technologist, Other |
| Taxonomy Specialization: | Electroneurodiagnostic |
| Taxonomy Definition: | |