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Individual

DR. ANTONIO OTERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
450 6TH AVE, 4TH FLOOR - UROLOGY, SAN FRANCISCO, CA 94118-3010
(415) 833-3239
(415) 833-2563
Mailing address
1139 BRODERICK ST, 4TH FLOOR - UROLOGY, SAN FRANCISCO, CA 94115-3904
(415) 652-0458
(415) 833-2563

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
243288
NY
208800000X
Urology Physician
Primary
A117082
CA
208800000X
Urology Physician
AO171708
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
TPI: 213257301
TX
Enumeration date
05/23/2008
Last updated
12/15/2021
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