MR. Charles Daniel Otero, PA

NPI #1255375903 in Clovis, New Mexico

Provider Information

NPI Number: 1255375903
Entity Type: Individual
Name: MR. Charles Daniel Otero, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 15, 2006
Last Updated: Dec 27, 2016

Practice Location

Address: 701 ARIZONA ST
Address 2: SUITE A
City: Clovis
State: New Mexico
ZIP Code: 88101-2110
Phone: (575) 742-3033

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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