Individual
OLAMIGOKE DAVID OMOTAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 SPRING ST STE B, JEFFERSONVILLE, IN 47130-2930
(812) 284-2273
Mailing address
1701 SPRING ST STE B, JEFFERSONVILLE, IN 47130-2930
(812) 284-2273
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71016925A
IN
Other
Enumeration date
09/15/2025
Last updated
09/16/2025
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