Individual
TOLULOPE OYEBOLA FADAYOMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1702 N KINGSHIGHWAY ST, CAPE GIRARDEAU, MO 63701-2122
(573) 339-2000
(573) 339-1876
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2024036714
MO
208000000X
Pediatrics Physician
2024036714
MO
Other
Enumeration date
03/20/2019
Last updated
02/26/2025
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