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Organization

JOHN L OTIS M D & MICHELE A STEWART M D INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN LEE OTIS MD (OWNER)
(619) 579-8745
Entity
Organization

Contact information

Practice address
4150 REGENTS PARK ROW, 250, LA JOLLA, CA 92037-9124
(858) 457-2180
(858) 457-2194
Mailing address
1679 E MAIN ST, 205, EL CAJON, CA 92021-5212
(619) 579-8745
(619) 457-2194

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
07/08/2006
Last updated
12/22/2010
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