Provider Demographics
NPI:1225615438
Name:OGUNLEYE, DAVID (TEMI) (DO)
Entity Type:Individual
Prefix:
First Name:DAVID (TEMI)
Middle Name:
Last Name:OGUNLEYE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:DAVID
Other - Middle Name:
Other - Last Name:OGUNLEYE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:3501 ARROWHEAD DR
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88001-6056
Mailing Address - Country:US
Mailing Address - Phone:575-674-2356
Mailing Address - Fax:
Practice Address - Street 1:3501 ARROWHEAD DR
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001-6056
Practice Address - Country:US
Practice Address - Phone:575-674-2356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-24
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANA207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery