Provider Demographics
NPI:1083054571
Name:REX, CHRISTOPHER UGOCHUKWU UGORJI (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:UGOCHUKWU UGORJI
Last Name:REX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:127 E MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:PAYSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85541-5646
Mailing Address - Country:US
Mailing Address - Phone:928-951-0395
Mailing Address - Fax:928-494-9319
Practice Address - Street 1:127 E MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:PAYSON
Practice Address - State:AZ
Practice Address - Zip Code:85541-5646
Practice Address - Country:US
Practice Address - Phone:928-951-0395
Practice Address - Fax:928-494-9319
Is Sole Proprietor?:No
Enumeration Date:2013-06-27
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA148673207ND0101X, 207NP0225X
AZ56105207NP0225X, 207N00000X
PAMT204558207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207NP0225XAllopathic & Osteopathic PhysiciansDermatologyPediatric Dermatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine