Lookup NPI Numbers from the NPI Registry
NPI Profile for MODEBOLA FADARE in OKLAHOMA CITY, OK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Professional |
101YP2500X | |||
Rehabilitation Practitioner |
225400000X |
| NPI Number | 1063754182 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/27/2013 | |
| Last updated | 05/16/2016 - About 10 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MODEBOLA FADARE
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| DANN R BERRONG, M.S. 909 26TH AVE NW NORMAN, OK |
MODEBOLA FADARE