Individual
RONALD BRIAN OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
10240 PARK MEADOWS DR, LONE TREE, CO 80124-5425
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
1499
CO
363AS0400X
Surgical Physician Assistant
Primary
1499
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024249
KAISER COMMERCIAL NUMBER
CO
05
—
98987232
—
CO
Enumeration date
08/09/2006
Last updated
06/18/2021
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