Organization
WOUND PROS UTAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER AYODELE OTIKO DPM (PRESIDENT)
(818) 836-2475
Entity
Organization
Contact information
Practice address
525 W 5300 S STE 525, MURRAY, UT 84123-5682
(323) 545-4031
Mailing address
5901 W CENTURY BLVD STE 750, LOS ANGELES, CA 90045-5443
(323) 480-4075
(323) 433-9177
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/12/2020
Last updated
01/09/2023
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