Individual
RONALD BRIAN OTT
Active
Individual
RONALD BRIAN OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
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
Update your record
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