Individual
ADETUNJI OLATUNJI ADEREMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6974 GATEWAY BLVD E, SUITE F, EL PASO, TX 79915
(915) 774-8850
(915) 598-3946
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06682
TX
363AM0700X
Medical Physician Assistant
C0003876
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313608701
—
TX
05
—
39376214
—
NM
Enumeration date
03/17/2009
Last updated
07/06/2018
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