Individual
DR. KIKELOMO IDOWU TOGUN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
214 W 70TH ST, SHREVEPORT, LA 71106-3751
(318) 869-2181
(318) 869-1730
Mailing address
214 W 70TH ST, #104, SHREVEPORT, LA 71106-3700
(318) 869-2181
(318) 869-1730
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12464R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1535915
—
LA
Enumeration date
04/25/2006
Last updated
07/08/2007
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