Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 25MA07947500 | NJ |
NPI | 1053499368 |
---|---|
Provider Name | Dr. James Oyetunde Oyekan |
First Address | Leesville, LA 71446-5430 |
Second Address | Jbsa, Fort Sam Houston, TX 78253 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 04/10/2021 |