Individual
DR. PAUL ZACHARY OTTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2501 CRESTWOOD RD STE 204, NORTH LITTLE ROCK, AR 72116-7616
(501) 753-4132
(501) 753-7215
Mailing address
701 FAIRFAX DR, BIRMINGHAM, AL 35209-4411
(405) 590-6956
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-12387
AR
207Q00000X
Family Medicine Physician
MD.37509
AL
Other
Enumeration date
04/13/2015
Last updated
06/26/2019
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