Individual
JAVIER OTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1025 MOREHEAD MEDICAL DR, STE 300, CHARLOTTE, NC 28204-2963
(704) 355-1813
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2017-00733
NC
Other
Enumeration date
05/23/2011
Last updated
02/17/2020
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