Individual
TAIWO ADEOGUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
594 HOLLINS CT, #105, NEWPORT NEWS, VA 23608-1755
(310) 755-5301
Mailing address
594 HOLLINS CT, #105, NEWPORT NEWS, VA 23608-1755
(310) 755-5301
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5000096
DE
Other
Enumeration date
12/16/2009
Last updated
12/16/2009
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