Individual
AKEEB ADEDOKUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5058 ROMAINE SPRING DR, FENTON, MO 63026-5868
(636) 326-2517
Mailing address
5058 ROMAINE SPRING DR, FENTON, MO 63026-5868
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
2003024384
MO
207QG0300X
Geriatric Medicine (Family Medicine) Physician
2003024384
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196690
BLUE CROSS BLUE SHIELD
—
05
—
208784009
—
MO
Enumeration date
07/05/2006
Last updated
08/21/2012
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