Provider Demographics
NPI:1447094438
Name:ONYECHI, EDUZOR ANTHONY (MD)
Entity type:Individual
Prefix:MR
First Name:EDUZOR
Middle Name:ANTHONY
Last Name:ONYECHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6420 CLAYTON ROAD
Mailing Address - Street 2:DEPT. INTERNAL MEDICINE 2ND FLOOR
Mailing Address - City:ST. LOUS
Mailing Address - State:MO
Mailing Address - Zip Code:63117-1811
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6420 CLAYTON ROAD
Practice Address - Street 2:DEPT. INTERNAL MEDICINE 2ND FLOOR
Practice Address - City:ST. LOUS
Practice Address - State:MO
Practice Address - Zip Code:63117-1811
Practice Address - Country:US
Practice Address - Phone:314-768-8778
Practice Address - Fax:314-768-7101
Is Sole Proprietor?:No
Enumeration Date:2024-06-24
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2024019285390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program