Individual
DR. OLABODE OLUMOFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 W 40TH AVE, SUITE 1C, PINE BLUFF, AR 71603-6940
(870) 535-4141
(870) 535-9180
Mailing address
1801 W 40TH AVE STE 1C, PINE BLUFF, AR 71603-6956
(870) 535-4141
(870) 535-4141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-3124
AR
208600000X
Surgery Physician
E3124
AR
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146619001
—
AR
Enumeration date
06/01/2006
Last updated
10/22/2025
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