Individual
DR. ADEWUMI O D AMOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
4301 W MARKHAM ST # 556, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5148
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
E-6242
AR
2085R0202X
Diagnostic Radiology Physician
T2009-108
AR
2085R0204X
Vascular & Interventional Radiology Physician
BP1-0023820
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2967433268
MYUTMB 2967433268-COMMERCIAL NUMBER
—
Enumeration date
06/14/2007
Last updated
06/26/2024
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