Individual
DANIEL TAIWO ADENEYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
812 W MAPLE ST, FARMINGTON, NM 87401-5631
(505) 326-6521
Mailing address
812 W MAPLE ST, FARMINGTON, NM 87401-5631
(505) 326-6521
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD2015-0573
NM
207RN0300X
Nephrology Physician
Primary
MD2015-0573
NM
Other
Enumeration date
05/15/2013
Last updated
09/02/2015
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