Individual
DAUD BIOLA KOLEOSHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1840 E BASELINE RD STE A1, TEMPE, AZ 85283-1527
(480) 718-5400
(877) 666-4624
Mailing address
PO BOX 308, QUEEN CREEK, AZ 85142-1806
(480) 718-5400
(877) 666-4624
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
253415
AZ
363LP2300X
Primary Care Nurse Practitioner
Primary
253415
AZ
Other
Enumeration date
02/03/2021
Last updated
03/16/2021
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