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DR. MOSES OYEGOKE ADEDEJI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 VETERANS AVENUE, DIAGNOSTIC MEDICINE SERVICE (113), BILOXI, MS 39531
(228) 523-5542
(228) 523-4902
Mailing address
310 ABBEY CT, APT A2, BILOXI, MS 39531-4009

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17620
MS
174400000X
Specialist
35.081298
OH
174400000X
Specialist
M0335
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17620
BOARD OF MEDICAL LICENSUR
MS
01
35.081298
STATE MEDICAL BOARD
OH
01
M0335
BOARD OF MEDICAL EXAMINER
TX
Enumeration date
07/04/2006
Last updated
07/08/2007
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