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Individual

AYOTUNDE B FADAYOMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 331-5329
(573) 331-5085
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35.148520
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2024036733
MO
207LP2900X
Pain Medicine (Anesthesiology) Physician
35.148520
OH

Other

Enumeration date
04/01/2019
Last updated
10/16/2024
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