Individual
OLUYOMI OBAFEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
649 HARKLE RD STE E, SANTA FE, NM 87505-4765
(505) 955-9454
Mailing address
PO BOX 6880, SANTA FE, NM 87502-6880
(505) 216-0332
(505) 982-0279
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
DR.0056983
CO
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
MD2025-0100
NM
208600000X
Surgery Physician
MT202124
PA
208D00000X
General Practice Physician
MD452377
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DR.0056983
STATE LICENSE NUMBER
CO
Enumeration date
04/24/2012
Last updated
05/13/2025
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