Individual
DR. MATTHEW HC OTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5741 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148-5622
(029) 846-5877
Mailing address
PO BOX 6255, PAHRUMP, NV 89041-6255
(702) 984-6587
(702) 463-2894
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
SL0386
NV
Other
Enumeration date
03/11/2008
Last updated
08/08/2019
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