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Dr. Oluseyi Fadegbola Ogundimu, MD
Pain Medicine (Anesthesiology) Physician in Sullivan, Missouri
NPI 1700016250

Oluseyi Fadegbola Ogundimu is a Pain Medicine (Anesthesiology) Physician based in Festus, MO and is specialized in Pain Medicine. Oluseyi Fadegbola Ogundimu practices in Sullivan, MO and has the professional credentials of MD. The NPI Number for Oluseyi Fadegbola Ogundimu is 1700016250 and holds a License No. 2014010100 (Missouri).

The current practice location address for Oluseyi Fadegbola Ogundimu is 661 Fisher Dr, Sullivan, MO and can be reached out via phone at 573-860-3000 and via fax at 573-860-3004.

Location: 661 Fisher Dr, Sullivan, MO, 63028-4133
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700016250
Provider Name
Oluseyi Fadegbola Ogundimu
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
661 Fisher Dr, Sullivan, MO, 63028-4133
Phone Number
573-860-3000
Fax Number
573-860-3004
Provider Enumeration Date
07/17/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1700016250 05 MO
institution
Provider Business Practice Location Address Details
Address
661 Fisher Dr
City
Sullivan
State
Missouri
Zip
63080-1533
Phone Number
573-860-3000
Fax Number
573-860-3004
person
Provider Business Mailing Address Details
Address
661 Fisher Dr
City
Sullivan
State
Missouri
Zip
63080-1533
Phone Number
573-860-3000
Fax Number
573-860-3004
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Anesthesiology
Speciality
Pain Medicine
Taxonomy
207LP2900X
License No.
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Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2014010100 (Missouri)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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