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Individual

WILLIAM R OTTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6811 AUSTIN CENTER BLVD # 300, AUSTIN, TX 78731-3166
(512) 344-0316
(512) 344-0320
Mailing address
PO BOX 26726, AUSTIN, TX 78755-0726
(512) 407-8686
(512) 421-4489

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
F5680
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
030001586
TX
05
118027502
TX
05
118027504
TX
Enumeration date
07/31/2006
Last updated
01/11/2011
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