| Wound Pros Arizona | |
|
3651 E Baseline Rd Ste E320 Gilbert AZ 85234-2689 | |
| (480) 590-1636 | |
| (323) 433-9177 |
| Full Name | Wound Pros Arizona |
|---|---|
| Speciality | General Practice |
| Location | 3651 E Baseline Rd Ste E320, Gilbert, Arizona |
| Authorized Official Name and Position | Christopher Ayodele Otiko (PRESIDENT) |
| Authorized Official Contact | 8187087668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Pros Arizona 5901 W Century Blvd Ste 750 Los Angeles CA 90045-5443 Ph: (323) 480-4075 | Wound Pros Arizona 3651 E Baseline Rd Ste E320 Gilbert AZ 85234-2689 Ph: (480) 590-1636 |
| NPI Number | 1356966105 |
|---|---|
| Provider Enumeration Date | 06/08/2020 |
| Last Update Date | 02/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356966105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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