Individual
MICHAEL OTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8200 E BELLEVIEW AVE, NO 124, GREENWOOD VILLAGE, CO 80111-2803
(303) 761-9190
(720) 874-4462
Mailing address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-26439
KS
2085R0202X
Diagnostic Radiology Physician
22532
NE
2085R0202X
Diagnostic Radiology Physician
31037
OK
2085R0202X
Diagnostic Radiology Physician
Primary
36720
CO
2085R0202X
Diagnostic Radiology Physician
MD17558
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01367200
—
CO
05
—
02300232
—
NY
05
—
100191970B
—
KS
05
—
10025709000
—
NE
05
—
104686285
—
MI
05
—
11458232
—
NM
05
—
1528113923
—
SD
05
—
1538113923
—
CA
05
—
1538113923
—
IA
05
—
1538113923
—
MO
05
—
1538113923
—
MT
05
—
1538113923
—
WY
05
—
1679513196
—
UT
05
—
204719301
—
TX
05
—
649413607A
—
GA
05
—
84-059792913
—
NE
05
—
922436
—
AZ
05
—
Q36720
—
SC
Enumeration date
05/20/2006
Last updated
03/29/2024
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