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Dr. Modupe Adedamola Aderibigbe, DPM
Podiatrist in Saint Louis, Missouri
NPI 1407092927

Modupe Adedamola Aderibigbe is a Podiatrist based in Saint Louis, MO. Modupe Adedamola Aderibigbe practices in Saint Louis, MO and has the professional credentials of DPM. The NPI Number for Modupe Adedamola Aderibigbe is 1407092927 and holds a License No. 5901002232 (Missouri).

The current practice location address for Modupe Adedamola Aderibigbe is 5471 Dr Martin Luther King Dr, Saint Louis, MO and can be reached out via phone at 314-367-5820 and via fax at 314-367-7010.

Location: 5471 Dr Martin Luther King Dr, Saint Louis, MO, 63112-4265
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407092927
Provider Name
Modupe Adedamola Aderibigbe
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
5471 Dr Martin Luther King Dr, Saint Louis, MO, 63112-4265
Phone Number
314-367-5820
Fax Number
314-367-7010
Provider Enumeration Date
01/06/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5471 Dr Martin Luther King Dr
City
Saint Louis
State
Missouri
Zip
63112-4265
Phone Number
314-367-5820
Fax Number
314-367-7010
person
Provider Business Mailing Address Details
Address
5471 Dr Martin Luther King Dr
City
Saint Louis
State
Missouri
Zip
63112-4265
Phone Number
314-367-5820
Fax Number
314-367-7010
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
016005470 (Illinois)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
213EP1101X
License No.
5901002232 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
5901002232 (Michigan)
Definition
Definition to come...
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