Robert Joel Otto M.D.

NPI 1003013947 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1003013947
Gender Male
Enumeration Date 07/02/2007
Last Updated 08/20/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
12639 OLD TESSON RD
SUITE 115
SAINT LOUIS MO, 63128-2786, US
Phone (314) 849-0311
Fax (314) 849-4423
Business Location
12639 OLD TESSON RD
SUITE 115
SAINT LOUIS MO, 63128-2786, US
Phone (314) 849-0311
Fax (314) 849-4423
Toxanomy
Taxonomy Code 207X00000X
License State Missouri
License Number 2014006166
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According to our database, Dr. Robert Joel Otto M.D. NPI is 1003013947, taxonomy code is 207X00000X and license number is 2014006166, license state is located at Missouri. Robert Joel Otto M.D. physically located at 12639 Old Tesson Rd, Saint Louis MO, 63128-2786. NPI Number Robert Joel Otto M.D. has the Individual type.

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1003013947 NPI number is provided on an as is basis without warranty of any kind. 1003013947 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Joel Otto M.D. are for informational purposes only.