Individual
DR. OLUWAFEMI AJIBOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-8315
(417) 347-8317
Mailing address
1102 W 32ND ST, JOPLIN, MO 64804-3503
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
331369
LA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2025007703
MO
208M00000X
Hospitalist Physician
331369
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200158911
—
MO
05
—
2584197
—
LA
Enumeration date
03/24/2019
Last updated
08/05/2025
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