Most Relevant Information
Provider Data
| NPI Number: | 1003227745 |
| Provider Name: | ADETOMIWA OGUNDERE M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/15/2014 |
| Last Updated: | 09/13/2018 |
Provider Practice Location
701 W 5TH ST
ODESSA
TX
797634206
Practice Location Phone/Fax
| Phone: | 4327035375 |
| Fax: |
Provider Mailing Location
3601 4TH ST
MS 9410
LUBBOCK
TX
794300002
Provider Mailing Phone/Fax
| Phone: | 8067436840 |
| Fax: |