Ichiro Otsu MD

NPI 1053422378 - Anesthesiology - 207L00000X

NPI Details
NPI 1053422378
Gender Male
Enumeration Date 08/31/2006
Last Updated 11/19/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
400 S 43RD ST
RENTON WA, 98055-5714, US
Phone (425) 353-3788
Fax (425) 353-8041
Business Location
PO BOX 84571
SEATTLE WA, 98124-5871, US
Phone (425) 353-3788
Fax (425) 353-8041
Toxanomy
Taxonomy Code 207L00000X
License State Washington
License Number MD00038794
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According to our database, Ichiro Otsu MD NPI is 1053422378, taxonomy code is 207L00000X and license number is MD00038794, license state is located at Washington. Ichiro Otsu MD physically located at 400 S 43rd St, Renton WA, 98055-5714. NPI Number Ichiro Otsu MD has the Individual type.

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1053422378 NPI number is provided on an as is basis without warranty of any kind. 1053422378 is maintained by the National Plan & Provider Enumeration System. The contents of Ichiro Otsu MD are for informational purposes only.