Individual
MR. MATTHEW DAVID OTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1717 S J ST, TACOMA, WA 98405-4933
(313) 745-3000
Mailing address
3829 53RD AVE SW, SEATTLE, WA 98116-3622
(313) 570-8561
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301086362
MI
Other
Enumeration date
05/09/2008
Last updated
08/06/2012
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