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Individual

MR. RICK ARLIN OTWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1612 HIGHWAY 78 EAST, SUITE 100, OXFORD, AL 36203-5862
(256) 835-4756
(256) 831-5736
Mailing address
7306 WEATHERFORD TRCE, TRUSSVILLE, AL 35173-5111
(205) 661-3938
(205) 661-3938

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-216
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009911337
AL
05
009935383
AL
Enumeration date
05/19/2006
Last updated
05/15/2024
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