Individual
DR. SAMUEL TAIWO OLATUNBOSUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-3000
Mailing address
10535 HOSPITAL WAY, MATHER, CA 95655-4200
(916) 843-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036096973
IL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
036096973
IL
Other
Enumeration date
10/26/2006
Last updated
06/02/2022
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