Individual
OLUMIDE OYEFESO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
907 E REED ST, 946 EAST REED STREET, HAYTI, MO 63851-1242
(573) 359-1372
Mailing address
PO BOX 442, HAYTI, MO 63851-0442
(573) 359-1372
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2007020560
MO
Other
Enumeration date
08/06/2007
Last updated
11/02/2011
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