Randall Jason Otto, M.D.

NPI #1841494689 in Fenton, Missouri

Provider Information

NPI Number: 1841494689
Entity Type: Individual
Name: Randall Jason Otto, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthopaedic Surgery
Credential: M.D.
Enumeration Date: Jun 14, 2007
Last Updated: Feb 24, 2021

Practice Location

Address: 1011 BOWLES AVE STE 400
City: Fenton
State: Missouri
ZIP Code: 63026-2387
Phone: (314) 977-7200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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