Individual
FOLAKE O OLUOKUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
80 B VETERANS BLVD, ACOMA, NM 87034
(505) 552-5300
(505) 552-5490
Mailing address
P.O. BOX 130, SAN FIDEL, NM 87049-0130
(505) 552-5300
(505) 552-5490
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
E3406
AR
207Q00000X
Family Medicine Physician
Primary
E3406
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146736001
—
AR
01
—
5M237
BCBS
AR
05
—
H3451
—
NM
Enumeration date
12/19/2005
Last updated
09/14/2016
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