Individual
DAVID R OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8050 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-2478
(317) 415-8500
Mailing address
250 W 96TH ST # 520, INDIANAPOLIS, IN 46260-1316
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
01065874A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200947180
—
IN
Enumeration date
05/18/2006
Last updated
04/15/2019
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