Individual
DR. ABIMBOLU S. MAKINDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19110 BOTHELL WAY NE STE 102, BOTHELL, WA 98011-2970
(425) 286-8271
(425) 286-8271
Mailing address
19110 BOTHELL WAY NE STE 102, BOTHELL, WA 98011-2970
(425) 286-8271
(425) 491-7271
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD60465979
WA
207QS0010X
Sports Medicine (Family Medicine) Physician
47434
AZ
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD60465979
WA
Other
Enumeration date
07/01/2011
Last updated
03/17/2018
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