Individual
DR. OLAWALE OLANIYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1512 12TH AVE RD, NAMPA, ID 83686-6008
(208) 463-5164
Mailing address
1512 12TH AVE RD, NAMPA, ID 83686-6008
(208) 463-5164
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M-12546
ID
208M00000X
Hospitalist Physician
Primary
M-12546
ID
Other
Enumeration date
08/08/2011
Last updated
01/18/2022
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