Individual
SERGIO OTTAVIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
1850 STATE ST, NEW ALBANY, IN 47150-4990
(610) 737-2528
Mailing address
1221 E BROADWAY, LOUISVILLE, KY 40204-1897
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
75000084A
IN
Other
Enumeration date
07/06/2021
Last updated
09/20/2023
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