Individual
DR. ANDREW THOMAS OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
518 FRANKLIN ST, PELLA, IA 50219-1636
(641) 628-2023
Mailing address
518 FRANKLIN ST, PELLA, IA 50219-1636
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
073612
IA
Other
Enumeration date
06/08/2014
Last updated
06/08/2014
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