Individual
DR. MARYANN OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-5614
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2009006927
MO
207L00000X
Anesthesiology Physician
Primary
49496
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101740023
—
MO
Enumeration date
02/06/2007
Last updated
03/29/2022
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