Individual
RANDY KURT OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
FAMILY MEDICINE CENTER, 2400 TUCKER AVE NE, ALBUQUERQUE, NM 87131-0001
(505) 272-2800
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY-2025-0065
NM
Other
Enumeration date
09/24/2025
Last updated
04/02/2026
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