Individual
DR. JOSEPH OTONICHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1215 LEE ST, BOX 800623, CHARLOTTESVILLE, VA 22908-0816
(434) 924-5457
Mailing address
1215 LEE ST, P.O. BOX 800623, CHARLOTTESVILLE, VA 22908-0816
(434) 924-5457
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/20/2012
Last updated
04/08/2013
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