Individual
OLUTAYO ABIDEMI SOGUNRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1200 N BEDELL AVE, DEL RIO, TX 78840-4491
(830) 768-9207
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
H94522
MD
208600000X
Surgery Physician
R2482
TX
Other
Enumeration date
03/06/2012
Last updated
09/06/2022
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