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Individual

JANET LYNN OTTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3200 CHANNING WAY STE 220, IDAHO FALLS, ID 83404-7546
(208) 800-6155
(208) 800-6158
Mailing address
PO BOX 277381, ATLANTA, GA 30384-7381

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
M-14309
ID
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
M-14309
ID

Other

Enumeration date
09/20/2006
Last updated
09/18/2025
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