Individual
OLUSEGUN ADEDAMOLA ADELEYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
405 BIENVILLE ST, NATCHITOCHES, LA 71457-5748
(318) 356-7211
Mailing address
405 BIENVILLE ST, NATCHITOCHES, LA 71457-5748
(318) 356-7211
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.200937
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1582018
—
LA
Enumeration date
05/24/2006
Last updated
06/06/2008
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