Individual
DR. OLADAPO O ODUMOSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28248 N TATUM BLVD, BLDG B-1 #605, CAVE CREEK, AZ 85331-6343
(602) 996-5595
(602) 996-5610
Mailing address
28248 N TATUM BLVD, BLDG B-1 #605, CAVE CREEK, AZ 85331-6343
(602) 996-5595
(602) 996-5610
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30700
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30700
MEDICAL LICENSE
AZ
05
—
724543
—
AZ
Enumeration date
02/16/2006
Last updated
06/28/2013
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