Eric Donald Ottenbacher, PA

NPI #1952308967 in Cheyenne, Wyoming

Provider Information

NPI Number: 1952308967
Entity Type: Individual
Name: Eric Donald Ottenbacher, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jul 5, 2005
Last Updated: Jul 31, 2025

Practice Location

Address: 2030 BLUEGRASS CIR
City: Cheyenne
State: Wyoming
ZIP Code: 82009-7328
Phone: (317) 635-3500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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