Modupe Adedamola Aderibigbe, D.P.M. Valid NPI
Individual provider · Podiatrist · Saint Louis, MO
- NPI
- 1407092927
- Type
- Individual (Type 1)
- Primary specialty
- Podiatrist
- Specialty group
- Podiatric Medicine & Surgery Service Providers
- Taxonomy code
- 213E00000X
- License number
- 016005470 (IL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2009-01-06
- Last updated
- 2014-04-01
Practice location
5471 Dr Martin Luther King Dr
Saint Louis, MO 63112-4265
(314) 367-5820