NPI 1104260090

Omofolarin Babatunji Fasuyi, MDMPH

Practitioner Family Medicine Physician Rolla, MO

Practice location

Address: 1605 Martin Springs Dr Suite 210, Rolla, MO 65401-2982
Phone: (573) 458-6326

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 2016023338 (MO)

Other Family Medicine providers in Missouri →

Registry record

NPI: 1104260090
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Apr 2013
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.