Individual
BABATUNDE OMITOGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 E MARSHALL ST, BOX 980135, RICHMOND, VA 23298-5051
(804) 828-7391
(804) 828-0191
Mailing address
1250 E MARSHALL ST, BOX 980135, RICHMOND, VA 23298-5051
(804) 828-7391
(804) 828-0191
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
VA
Other
Enumeration date
04/16/2016
Last updated
04/16/2016
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