Individual
GREGORY WARREN OTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1600 6TH AVE, SUITE 114, YORK, PA 17403-2641
(717) 755-1244
(717) 757-7644
Mailing address
1600 6TH AVE STE 114, YORK, PA 17403-2627
(717) 755-1244
(717) 718-8188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS004327L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000863200
—
PA
01
—
195352
MEDICARE
PA
Enumeration date
06/23/2006
Last updated
12/30/2020
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