Individual
OLAIDE OMOWONUOLA ABIODUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1800 E. FLORENCE BLVD, ATTN: HOSPITALIST TEAM, CASA GRANDE, AZ 85122-5303
(480) 543-2034
(480) 543-2647
Mailing address
1800 E. FLORENCE BLVD, ATTN: HOSPITALIST TEAM, CASA GRANDE, AZ 85122-5303
(480) 543-2034
(480) 543-2647
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
50099
AZ
208M00000X
Hospitalist Physician
50099
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052491
—
AZ
Enumeration date
07/17/2012
Last updated
05/07/2025
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