Individual
MR. HAROLD ODUTOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1136 E HARMONY AVE STE 202B-2, MESA, AZ 85204-5844
(407) 738-5791
(480) 210-3563
Mailing address
1136 E HARMONY AVE STE 202B-2, MESA, AZ 85204-5844
(407) 738-5791
(480) 210-3563
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002426-P.A.
PR
Other
Enumeration date
12/30/2024
Last updated
01/23/2025
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