Individual
DR. MARVIN JACOB OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(316) 268-5775
(316) 291-7496
Mailing address
PO BOX 47222, WICHITA, KS 67201-7222
(316) 268-8131
(316) 291-4788
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
04-32839
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200540810A
—
KS
Enumeration date
06/07/2006
Last updated
12/01/2010
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