Individual
DR. OLUGBENGA ADEDIPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1820 PEABODY ST, TUNICA, MS 38676-9441
(662) 363-3656
(662) 363-3789
Mailing address
510 HIGHWAY 322, P O BOX 1216, CLARKSDALE, MS 38614-4717
(662) 624-4292
(662) 624-4354
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20415
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02635095
—
MS
Enumeration date
07/28/2005
Last updated
03/28/2014
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