Individual
DR. ABODUNRIN SULAIMON OLASUBOMI BADEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
228 BUCHER DR, MOUNTAIN HOME, AR 72653-3400
(870) 425-4416
(870) 425-8615
Mailing address
228 BUCHER DR, MOUNTAIN HOME, AR 72653-3400
(870) 425-4416
(870) 425-8615
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
E3359
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06-1833974
TAX ID
—
05
—
152961001
—
AR
Enumeration date
05/02/2006
Last updated
04/25/2017
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