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Organization

RICHARD E OTOSKI MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD E OTOSKI MD (PRESIDENT)
(541) 883-3427
Entity
Organization

Contact information

Practice address
2303 CLAIRMONT DR, KLAMATH FALLS, OR 97601-7149
(541) 883-3427
(541) 883-3469
Mailing address
PO BOX 848957, BOSTON, MA 02284-8957
(541) 883-3427
(541) 883-3469

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD11020
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005298
OR
01
1528079423
NPI #1
OR
01
ROOOOBHJBS
GROUP
OR
Enumeration date
11/30/2007
Last updated
04/15/2008
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