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Individual

DR. ABIOLA OLOWOYEYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-3174
Mailing address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-3174

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
138249
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
63348
AZ
2080N0001X
Neonatal-Perinatal Medicine Physician
A138249
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F2269349
DRIVER'S LICENCE
CA
Enumeration date
09/23/2015
Last updated
08/23/2022
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