Individual
DAVID JAMES OTT
Active
Individual
DAVID JAMES OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
18131
NC
2085U0001X
Diagnostic Ultrasound Physician
18131
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186354000
—
WV
01
—
4477973
AETNA
NC
01
—
5568
PARTNERS
NC
01
—
64185
MEDCOST
NC
01
—
64374
BCBS
NC
05
—
7252277
—
VA
05
—
8964374
—
NC
05
—
Q18131
—
SC
Enumeration date
12/01/2005
Last updated
10/08/2010
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