Provider Demographics
NPI:1801037973
Name:IWALOYE, FEMI DAVID (MD)
Entity Type:Individual
Prefix:
First Name:FEMI
Middle Name:DAVID
Last Name:IWALOYE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1671 N ZARAGOZA RD
Mailing Address - Street 2:STE A
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-8058
Mailing Address - Country:US
Mailing Address - Phone:915-595-5439
Mailing Address - Fax:915-591-8898
Practice Address - Street 1:1671 N ZARAGOZA RD
Practice Address - Street 2:STE A
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-8058
Practice Address - Country:US
Practice Address - Phone:915-595-5439
Practice Address - Fax:915-591-8898
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-18
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT188883207V00000X
TXN6382207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology