Organization
WOUND CONSULTANT OF WESTERN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLU R SANGODEYI MD (PRESIDENT)
(412) 269-9665
Entity
Organization
Contact information
Practice address
935 THORN RUN RD STE W201, CORAOPOLIS, PA 15108-2861
(412) 269-9665
(412) 269-7985
Mailing address
935 THORN RUN RD STE W201, CORAOPOLIS, PA 15108-2861
(412) 269-9665
(412) 269-7985
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD036087L
PA
Other
Enumeration date
11/22/2006
Last updated
08/22/2020
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