Individual
DR. ISAAC OTOMEWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 HIGHLAND AVE, LEWISTOWN, PA 17044-1167
(717) 242-7507
(717) 242-7593
Mailing address
2813 INDUSTRIAL PARK RD, MIFFLINTOWN, PA 17059-9078
(717) 436-8283
(717) 436-8351
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MT230680
PA
Other
Enumeration date
03/20/2024
Last updated
04/15/2024
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