Individual
CRAIG R OTTENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 S OCOTILLO AVE, BENSON, AZ 85602-6401
(520) 586-9111
(520) 586-9091
Mailing address
5941 N VIA DEL CHIQUIRI, TUCSON, AZ 85718-3312
(520) 395-2736
(520) 586-9111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
92-325
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2585081
—
NM
Enumeration date
03/20/2007
Last updated
09/18/2012
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