Individual
WADE OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 ESSIE DAVISON DR, CLARINDA, IA 51632-2915
(712) 542-2176
Mailing address
220 ESSIE DAVISON DR, CLARINDA, IA 51632-2915
(712) 542-2176
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
136225
IA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
02/16/2026
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