Individual
ELIZABETH ANN OTTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
7029 E RUSSELL ST, MESA, AZ 85207-0996
(270) 348-2215
Mailing address
7029 E RUSSELL ST, MESA, AZ 85207-0996
(270) 348-2215
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02685
KY
207Q00000X
Family Medicine Physician
Primary
4208
AZ
Other
Enumeration date
02/23/2006
Last updated
07/08/2007
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