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Individual

DR. ADEGOKE OLAOLU ADELEKE I

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., M.S.M

Contact information

Practice address
104 E. HIGHWAY 60, MOUNTAIN VIEW, MO 65548-7381
(417) 934-2251
(417) 934-2871
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 820-2000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
S5109
TX
207Q00000X
Family Medicine Physician
2015000034
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1568753481
MO
Enumeration date
04/26/2011
Last updated
01/06/2023
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