Individual
DOUG T OTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3801 MIRANDA AVE # MC-128, PALO ALTO, CA 94304-1207
(650) 493-5000
Mailing address
3801 MIRANDA AVE # MC-128, PALO ALTO, CA 94304-1207
Taxonomy
Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
G83604
CA
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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