Individual
DR. AKINTUNDE ADEGITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTOMETRIST
Contact information
Practice address
306 SOUTH LAKE ST, FARMINGTON, NM 87401
(505) 326-0552
(505) 326-3308
Mailing address
306 S LAKE ST, FARMINGTON, NM 87401-5620
(505) 326-0552
(505) 326-3308
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NM2399
NM
Other
Enumeration date
09/22/2006
Last updated
09/08/2010
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