Individual
DR. MODUPE ADEDAMOLA ADERIBIGBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
5471 DR MARTIN LUTHER KING DR, SAINT LOUIS, MO 63112-4265
(314) 367-5820
(314) 367-7010
Mailing address
5471 DR MARTIN LUTHER KING DR, SAINT LOUIS, MO 63112-4265
(314) 367-5820
(314) 367-7010
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016005470
IL
213E00000X
Podiatrist
2011018632
MO
213EP1101X
Primary Podiatric Medicine Podiatrist
5901002232
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
5901002232
MI
Other
Enumeration date
01/06/2009
Last updated
04/01/2014
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