Individual
FADULELMOLA FADUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63703-4914
(573) 331-5544
(573) 331-5545
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
2021035035
MO
Other
Enumeration date
07/26/2015
Last updated
08/30/2021
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