Individual
SCOTT C OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11700 W 2ND PL STE 210, LAKEWOOD, CO 80228-1716
(720) 321-8080
(720) 321-8081
Mailing address
PO BOX 800022, KANSAS CITY, MO 64180-0022
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036109065
IL
208600000X
Surgery Physician
Primary
DR.0066919
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036109065
—
IL
05
—
9000199569
—
CO
Enumeration date
09/08/2005
Last updated
01/14/2022
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