Individual
PETERS T. OTLANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16259 SYLVESTER RD SW STE 501, BURIEN, WA 98166-3059
(206) 243-1100
(206) 431-0835
Mailing address
16259 SYLVESTER RD SW STE 501, BURIEN, WA 98166-3059
(206) 243-1100
(206) 431-0835
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD61055362
WA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD61055362
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2038244
—
WA
Enumeration date
04/16/2014
Last updated
09/27/2023
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