OLASUMBO ELIZABETH FAGBENLE

SAINT LOUIS, MO
NPI1275285124
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MO  2021047578)
Additional Taxonomies208000000X Pediatrics
(Licence: MO  2021047578)
Enumeration Date2022-01-21
Last Update Date2022-01-21
Business Address
Dr. OLASUMBO ELIZABETH FAGBENLE MD
3015 N BALLAS RD
SAINT LOUIS, MO 63131-2329
Phone number: 954-477-0101
Mailing Address
Dr. OLASUMBO ELIZABETH FAGBENLE MD
1602 ENCLAVE PKWY APT 1708
HOUSTON, TX 77077-3616
Phone number: 954-477-0101