Individual
ERNEST AYODELE GBADEBO-GOYEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4181
(314) 652-4100
Mailing address
1111 S LINCOLN AVE UNIT 1563, O FALLON, IL 62269-5172
(618) 698-5303
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
00000000
TN
2084P0800X
Psychiatry Physician
Primary
336109441
IL
Other
Enumeration date
07/16/2012
Last updated
07/01/2024
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