Individual
MR. ALAN OTTARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NRP
Contact information
Practice address
6595 MAIN ST, GLOUCESTER, VA 23061-6103
(804) 693-2148
Mailing address
PO BOX 112, WARE NECK, VA 23178-0112
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
E122007303
VA
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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