Individual
JUSTICE OTCHERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6079 N FRESNO STREET, SUITE 101, FRESNO, CA 93710-2804
(559) 538-3145
Mailing address
6079 N FRESNO ST STE 101, FRESNO, CA 93710-5276
(559) 538-3145
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A136211
CA
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
A136211
CA
Other
Enumeration date
04/23/2013
Last updated
05/12/2021
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