Individual provider · Type 1 NPI

Charles Daniel Otero, PA

Physician Assistant · Clovis, NM

NPI number 1255375903 Active

Practice location

701 Arizona St, Suite A
Clovis, NM 88101-2110

Fax (575) 742-1133

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X93-PA01 (NM)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1255375903

Charles Daniel Otero, PA's National Provider Identifier is 1255375903, issued on Jun 15, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Clovis, NM. The record was last updated on Dec 27, 2016.