| NPI | 1760020937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAMIDELE OLUGBENGA OLUPONA Physician 202-321-8812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2019-12-18 |