Individual
DR. OLABISI A JAGUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12600 HILL CREEK LN, POTOMAC, MD 20854-1184
(240) 401-5953
Mailing address
12600 HILL CREEK LN, POTOMAC, MD 20854-1184
(240) 401-5953
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101046802
VA
207P00000X
Emergency Medicine Physician
Primary
MD16916
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030100500
—
DC
05
—
1679522023
—
VA
05
—
3810007727
—
WV
Enumeration date
05/10/2006
Last updated
03/07/2023
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