Samuel James Otto M.D.

NPI 1154565273 - Urology - 208800000X

NPI Details
NPI 1154565273
Gender Male
Enumeration Date 04/21/2009
Last Updated 12/01/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
5405 S 500 E
SUITE 100
OGDEN UT, 84405-6957, US
Phone (801) 475-8600
Fax (801) 475-8686
Business Location
2068 SUMMERWOOD DR
LAYTON UT, 84040-3105, US
Phone (801) 678-1363
Fax (801) 825-3537
Toxanomy
Taxonomy Code 208800000X
License State Utah
License Number 7223921-1205
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According to our database, Dr. Samuel James Otto M.D. NPI is 1154565273, taxonomy code is 208800000X and license number is 7223921-1205, license state is located at Utah. Samuel James Otto M.D. physically located at 5405 S 500 E, Ogden UT, 84405-6957. NPI Number Samuel James Otto M.D. has the Individual type.

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1154565273 NPI number is provided on an as is basis without warranty of any kind. 1154565273 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel James Otto M.D. are for informational purposes only.