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Individual

USIAKIMI IGBASEIMOKUMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MBBS, FRCS(C), MD

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
FTL41604
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
205463300
MO
01
782343
HEALTHLINK
MO
Enumeration date
10/25/2006
Last updated
12/03/2021
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