Modupe Adedamola Aderibigbe D.P.M.

NPI 1407092927 - Podiatrist - 213E00000X

NPI Details
NPI 1407092927
Gender Female
Enumeration Date 01/06/2009
Last Updated 04/01/2014
Entity Type Individual
Active Over 7 years ago
Practice Location
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS MO, 63112-4265, US
Phone (314) 367-5820
Fax (314) 367-7010
Business Location
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS MO, 63112-4265, US
Phone (314) 367-5820
Fax (314) 367-7010
Toxanomy
Taxonomy Code 213E00000X
License State Missouri
License Number 2011018632
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According to our database, Dr. Modupe Adedamola Aderibigbe D.P.M. NPI is 1407092927, taxonomy code is 213E00000X and license number is 2011018632, license state is located at Missouri. Modupe Adedamola Aderibigbe D.P.M. physically located at 5471 Dr Martin Luther King Dr, Saint Louis MO, 63112-4265. NPI Number Modupe Adedamola Aderibigbe D.P.M. has the Individual type.

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1407092927 NPI number is provided on an as is basis without warranty of any kind. 1407092927 is maintained by the National Plan & Provider Enumeration System. The contents of Modupe Adedamola Aderibigbe D.P.M. are for informational purposes only.