Individual
DR. STEVEN KENDAL OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1501 SAN PEDRO DR. SE, (119), ALBUQUERQUE, NM 87108
(505) 265-1711
Mailing address
1501 SAN PEDRO DR. SE, (119), ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26899
NC
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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