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Individual
MARK A OTTO
Active
Individual
MARK A OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
26689
NE
207Q00000X
Family Medicine Physician
31413
IA
208M00000X
Hospitalist Physician
26689
NE
208M00000X
Hospitalist Physician
Primary
MD-31413
IA
Other
Enumeration date
01/11/2007
Last updated
04/10/2017
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