Organization
BAHM FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AKINRINOLA FATOKI MD (MEMBER)
(314) 355-5300
Entity
Organization
Contact information
Practice address
2880 NETHERTON DR STE 200, SAINT LOUIS, MO 63136-4697
(314) 355-5300
(314) 521-4656
Mailing address
PO BOX 4204, CHESTERFIELD, MO 63006-4204
(314) 355-5300
(314) 521-4656
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
109044
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208030767
—
MO
Enumeration date
05/12/2007
Last updated
10/21/2024
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