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Individual

DR. ADELUOLA G LIPEDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9231 W FLORISSANT AVE, SAINT LOUIS, MO 63136-1422
(314) 522-1888
(314) 522-9674
Mailing address
PO BOX 3980, CHESTERFIELD, MO 63006-3980
(314) 522-1888
(314) 522-9674

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
R7F89
MO
208D00000X
General Practice Physician
Primary
R7F89
MO
208VP0014X
Interventional Pain Medicine Physician
R7F89
MO

Other

Enumeration date
03/24/2006
Last updated
11/14/2007
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