Individual
MISS OPEYEMI A BANJOKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
728 N ELIZABETH ST, PUEBLO, CO 81003-2335
(719) 543-9158
(719) 544-1958
Mailing address
728 N ELIZABETH ST, PUEBLO, CO 81003-2335
(719) 543-9158
(719) 544-1958
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
48210
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65703871
—
CO
Enumeration date
11/05/2008
Last updated
07/08/2022
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