Individual
OLUMIDE A DANISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 DUKE MEDICINE CIR, DURHAM, NC 27710-4000
(919) 618-2735
Mailing address
40 DUKE MEDICINE CIR, DURHAM, NC 27710-4000
(919) 618-2735
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
2024-01972
NC
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
G89015
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467413450
—
VA
Enumeration date
03/29/2006
Last updated
07/29/2024
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