Otto Stallworth, M.d.,inc.

NPI #1972673499 in Hawthorne, California

Provider Information

NPI Number: 1972673499
Entity Type: Organization
Organization Name: Otto Stallworth, M.d.,inc.
Primary Specialty: Anesthesiology
Enumeration Date: Nov 9, 2006
Last Updated: Dec 29, 2007

Practice Location

Address: 4500 W 116TH ST
City: Hawthorne
State: California
ZIP Code: 90250-2209
Phone: (800) 883-7243

Authorized Official

Name: DR. OTTO STALLWORTH, M.D.
Title: PRESIDENT
Phone: (800) 883-7243

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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