| Wound Pros Utah | |
|
525 W 5300 S Ste 525 Murray UT 84123-5682 | |
| (323) 545-4031 | |
| Not Available |
| Full Name | Wound Pros Utah |
|---|---|
| Speciality | General Practice |
| Location | 525 W 5300 S Ste 525, Murray, Utah |
| Authorized Official Name and Position | Christopher Ayodele Otiko (PRESIDENT) |
| Authorized Official Contact | 8188362475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Pros Utah 5901 W Century Blvd Ste 750 Los Angeles CA 90045-5443 Ph: (323) 480-4075 | Wound Pros Utah 525 W 5300 S Ste 525 Murray UT 84123-5682 Ph: (323) 545-4031 |
| NPI Number | 1649885096 |
|---|---|
| Provider Enumeration Date | 09/12/2020 |
| Last Update Date | 01/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649885096 | 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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