Individual
DR. FLETCHER THOMAS OTT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 HIGHWAY 61, FESTUS, MO 63028-4141
(636) 937-8855
(636) 937-3751
Mailing address
22 ALGONQUIN LN, SAINT LOUIS, MO 63119-3502
(314) 961-3088
(636) 937-2742
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
30268
MO
Other
Enumeration date
07/18/2005
Last updated
07/09/2007
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