Individual
MR. MAURY MONROE OTTERSTETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
8300 W 38TH AVE, WHEAT RIDGE, CO 80033
(303) 425-2228
Mailing address
8300 W 38TH AVE, WHEAT RIDGE, CO 80033-6005
(303) 425-2228
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15030
CO
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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