Gregory Alan Otto PA-C

NPI 1043340797 - Physician Assistant - 363A00000X

NPI Details
NPI 1043340797
Gender Male
Enumeration Date 03/06/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3065 ARLINGTON AVE
TOLEDO OH, 43614-2570, US
Phone (419) 383-4020
Fax
Business Location
4760 ROAD 9-D
LEIPSIC OH, 45856, US
Phone (419) 943-3801
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Ohio
License Number 2057
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According to our database, Gregory Alan Otto PA-C NPI is 1043340797, taxonomy code is 363A00000X and license number is 2057, license state is located at Ohio. Gregory Alan Otto PA-C physically located at 3065 Arlington Ave, Toledo OH, 43614-2570. NPI Number Gregory Alan Otto PA-C has the Individual type.

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1043340797 NPI number is provided on an as is basis without warranty of any kind. 1043340797 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory Alan Otto PA-C are for informational purposes only.