Individual
SARAH FREDERIKE OTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5850 E STILL CIR, MESA, AZ 85206-3618
(480) 219-6000
Mailing address
5850 E STILL CIR, MESA, AZ 85206-3618
(480) 219-6000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
008979
AZ
207Q00000X
Family Medicine Physician
2020042950
MO
207Q00000X
Family Medicine Physician
20A23271
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2018
Last updated
11/03/2025
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