Individual
MR. CLIFFORD NEILL OTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4881 SUGAR MAPLE DR, 88MDG/SGHJ, WRIGHT PATTERSON AFB, OH 45433-5546
(937) 255-7119
Mailing address
2122 BANDIT TRL, BEAVERCREEK, OH 45434-5605
(937) 306-2195
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/01/2006
Last updated
12/23/2023
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