Individual
OLUSEGUN OBAFEMI OWOTOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 268-6439
(314) 268-2798
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 268-6439
(314) 268-2798
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
D0093346
MD
2080P0214X
Pediatric Pulmonology Physician
Primary
2025031593
MO
Other
Enumeration date
03/21/2019
Last updated
08/26/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us