Individual
CHRIS OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3236 E GRAND AVE STE D, LARAMIE, WY 82070-5100
(307) 760-8602
(307) 460-9880
Mailing address
3236 E GRAND AVE STE D, LARAMIE, WY 82070-5100
(307) 760-8602
(307) 460-9880
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA734
WY
Other
Enumeration date
05/19/2016
Last updated
06/28/2023
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