Individual
DR. GARY OTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
16911 E QUINCY AVE, A-3, AURORA, CO 80015-6102
(303) 766-7073
Mailing address
16911 E QUINCY AVE, A-3, AURORA, CO 80015-6102
(303) 766-7073
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3665
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3665
STATE LICENSE
CO
Enumeration date
10/24/2006
Last updated
04/17/2008
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