Organization
WOUND PROS NORTH CAROLINA
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
5960 FAIRVIEW ROAD, SUITES 300 & 400, CHARLOTTE, NC 28210-3102
(310) 496-5844
(323) 433-9177
Mailing address
4640 ADMIRALTY WAY STE 500, MARINA DEL REY, CA 90292-6636
(818) 836-2475
(323) 433-9177
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
06/08/2020
Last updated
05/23/2022
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