Olusola Olofinlade M.D.

NPI 1093750531 - Internal Medicine - 207RG0100X

NPI Details
NPI 1093750531
Gender Male
Enumeration Date 06/18/2006
Last Updated 02/11/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
701 E MARSHALL AVE
STE. 200
LONGVIEW TX, 75601-5573, US
Phone (903) 236-2222
Fax
Business Location
701 E MARSHALL AVE
STE. 200
LONGVIEW TX, 75601-5573, US
Phone (903) 236-2222
Fax
Toxanomy
Taxonomy Code 207RG0100X
License State Texas
License Number L2520
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According to our database, Olusola Olofinlade M.D. NPI is 1093750531, taxonomy code is 207RG0100X and license number is L2520, license state is located at Texas. Olusola Olofinlade M.D. physically located at 701 E Marshall Ave, Longview TX, 75601-5573. NPI Number Olusola Olofinlade M.D. has the Individual type.

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1093750531 NPI number is provided on an as is basis without warranty of any kind. 1093750531 is maintained by the National Plan & Provider Enumeration System. The contents of Olusola Olofinlade M.D. are for informational purposes only.