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Individual

CARL W OTTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
20101 N LAGOS CT, SURPRISE, AZ 85374-5013
(623) 546-9204
Mailing address
20101 N LAGOS CT, SURPRISE, AZ 85374-5013
(623) 546-9204

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1667
AZ

Other

Enumeration date
10/27/2009
Last updated
10/27/2009
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