Individual provider · NPI-1

Anthony Adeosun, DO

Military Health Care Provider · San Diego, CA

NPI number1063971372
StatusActive
Last updated in NPPESNov 21, 2024

Details

NPI
1063971372
Entity type
Individual (NPI-1)
Name
Anthony Adeosun
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Mar 16, 2019
Certification date
Nov 21, 2024
Last updated
Nov 21, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171000000X Military Health Care Provider––Yes

Practice location

38400 Bob Wilson Dr
San Diego, CA 92134-5000

Phone 601-810-6388

Mailing address

38400 Bob Wilson Dr
San Diego, CA 92134-5000

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