CHRIS OTTO PA NPI 1982051850

NPI Information

NPI: 1982051850
Provider Name: CHRIS OTTO, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: COLLEGE DRIVE URGENT CARE LLC

PECOS Registration: Yes

Address:
3236 E GRAND AVE STE D
LARAMIE, WY
ZIP 82070
Phone: (307) 760-8602
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Chris Otto, PA is a medical physician assistant in Laramie, WY with 7 years of experience. Chris Otto, PA NPI is 1982051850. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3236 E GRAND AVE STE D
LARAMIE, WY
ZIP 82070-100
Phone: (307) 760-8602
Fax: (307) 460-9880

The NPI 1982051850 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/19/2016 and was last updated on 2/8/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA734	WYOMING	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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