Individual
OMOWUNMI AJIBOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 N 1900 E RM 1A071, SALT LAKE CITY, UT 84132-0002
(801) 581-2868
Mailing address
471 E BROAD ST STE 1400, COLUMBUS, OH 43215-3806
(614) 221-1399
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
11741847-1205
UT
2085R0202X
Diagnostic Radiology Physician
35.141903
OH
2085R0204X
Vascular & Interventional Radiology Physician
Primary
35.141903
OH
Other
Enumeration date
06/18/2015
Last updated
10/28/2021
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