Individual
ADEBAYO A. ADESOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 N 1900 E RM 2B200, SALT LAKE CITY, UT 84132-2209
(801) 213-3716
Mailing address
30 N 1900 E RM 2B200, SALT LAKE CITY, UT 84132-2209
(801) 213-3716
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
12208312-1205
UT
207VM0101X
Maternal & Fetal Medicine Physician
12208312-1205
UT
Other
Enumeration date
04/26/2017
Last updated
10/16/2021
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