| Doctor Name: | DR. SAINT ADEOGBA |
| NPI Number: | 1265587869 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 39020000X |
| Business Practice Address: | 10301 Kanis Rd Little Rock, AR - 722056205 |
| Business Phone Number: | 5016046900 |
| Business Fax Number: | 5016043220 |
| Mailing Address: | 10301 Kanis Rd, LITTLE ROCK |
| State: | AR |
| Postal Code: | 722056205 |
| Phone Number: | 5016046900 |
| Fax Number: | 5016043220 |
| NPI Enumeration Date: | 01/24/2007 |
| NPI Last Update Date: | 08/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 39020000X |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |