Individual
JOSEPH O AIYENOWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 SE BISHOP BLVD STE 200, PULLMAN, WA 99163-5537
(509) 332-2517
(509) 334-9247
Mailing address
PO BOX 609, 705 E RANDALL, HESSTON, KS 67062
(620) 327-2440
(620) 327-2062
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
04-27421
KS
207R00000X
Internal Medicine Physician
Primary
MD60992612
WA
208000000X
Pediatrics Physician
0427421
KS
208000000X
Pediatrics Physician
MD60992612
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100381040C
—
KS
Enumeration date
06/26/2006
Last updated
06/25/2024
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