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Individual

BABATUNDE ONIMAGO-ISHIAKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(716) 239-3983
Mailing address
620 JOHN PAUL JONES CIRCLE, NMCP GENERAL SURGERY DEPARTMENT, PORTSMOUTH, VA 23708
(716) 239-3983

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0110003560
VA

Other

Enumeration date
11/18/2010
Last updated
11/16/2017
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