Individual
DARIN DALE OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
355 N MAIN ST, KANAB, UT 84741-3260
(435) 644-4100
(435) 644-3366
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
362943
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107008220102
SELECT HEALTH
UT
01
—
36294312001001
BCBS
UT
05
—
D3496
—
UT
Enumeration date
11/09/2006
Last updated
11/27/2023
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