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Individual

SEKI A. BALOGUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
825 NE 10TH ST STE 4F, OKLAHOMA CITY, OK 73104-5417
(405) 271-8558
(405) 271-3887
Mailing address
920 STANTON L YOUNG BLVD STE 2410, OKLAHOMA CITY, OK 73104-5036
(405) 271-8558
(405) 271-3887

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
0101231678
VA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
38433
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005882630
VA
Enumeration date
03/08/2007
Last updated
12/17/2021
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