Individual
ADEDAYO MICHAEL BALOGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
12631 E 17TH AVE, AURORA, CO 80045-2527
(303) 724-7408
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TL0009674
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
03/25/2022
Last updated
04/24/2023
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