Individual
DR. WILLIAM J OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3231 S NATIONAL AVE, SUITE 250, SPRINGFIELD, MO 65807-7304
(417) 885-0828
(417) 886-7383
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R3F74
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113722001
—
AR
05
—
202187662
—
MO
01
—
4594
MO BLUE SHIELD
MO
01
—
81484
ARK BLUE SHIELD
AR
Enumeration date
02/13/2007
Last updated
05/09/2013
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