Todd M Otstot, PA-C

NPI #1275523276 in Caldwell, Idaho

Provider Information

NPI Number
1275523276
Entity Type
Individual
Name
Todd M Otstot, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Oct 21, 2005
Last Updated
Oct 6, 2022

Practice Location

Address
206 E ELM ST
State
Idaho
ZIP Code
83605-4815
Phone
(208) 459-4511

Specialties & Taxonomy Codes

Specialty
Physician Assistant
Physician Assistant - MedicalMedical

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