Individual
DR. OLABODE OLAOSEBIKAN DESALU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 S 52ND ST STE 200, ROGERS, AR 72758-8640
(479) 254-1100
Mailing address
1 CHILDREN'S WAY, SLOT 844, LITTLE ROCK, AR 72202-3500
(501) 364-2090
(501) 364-3929
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
15345R
LA
208000000X
Pediatrics Physician
Primary
E-11228
AR
208000000X
Pediatrics Physician
T2018-031
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1470635
—
LA
05
—
176387001
—
AR
05
—
200069660
—
MO
05
—
200775600A
—
OK
Enumeration date
07/16/2006
Last updated
11/22/2024
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