Individual
OLAOLUWA MAYOWA OMOTOWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPH
Contact information
Practice address
30 N 1900 E, SALT LAKE CITY, UT 84132-0002
(801) 581-7498
Mailing address
30 N 1900 E, SALT LAKE CITY, UT 84132-0002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101289801
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/15/2026
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