Individual
DR. OLAIDE ODELOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1001 GAUSE BLVD, SLIDELL, LA 70458-2939
(985) 643-2200
Mailing address
1001 GAUSE BLVD, SLIDELL, LA 70458-2939
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.206531
LA
208100000X
Physical Medicine & Rehabilitation Physician
MD.206531
LA
Other
Enumeration date
06/19/2010
Last updated
01/31/2020
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