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NPI Verification

National Provider Identifier: 1417275033

Olusegun Adetuyi, Md, Mph

Individual Provider

Credentials

MD, MPH

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (2)

Hospitalist

Code: 208M00000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

4212 N 16TH ST

PHOENIX, AZ 850165319

Phone: 602-263-1200

NPI Enumeration Date

May 6, 2010

NPI Number

1417275033

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry