Andrea L Ott, PA-C

NPI #1619114246 in Blair, Nebraska

Provider Information

NPI Number: 1619114246
Entity Type: Individual
Name: Andrea L Ott, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 20, 2009
Last Updated: Jun 25, 2010

Practice Location

Address: 812 N 22ND STREET
Address 2: BLAIR CLINIC
City: Blair
State: Nebraska
ZIP Code: 68008
Phone: (402) 426-4611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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