Individual
JUSTIN OTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
268 STILLWATER AVE, BANGOR, ME 04401-3945
(207) 973-6100
Mailing address
268 STILLWATER AVE, BANGOR, ME 04401-3945
(207) 973-6100
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
404-320
WI
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
CDRH.0060526
CO
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
MD-48057
IA
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
MD26700
ME
2084N0400X
Neurology Physician
404
WI
2084P0800X
Psychiatry Physician
404-320
WI
Other
Enumeration date
06/20/2014
Last updated
02/24/2023
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