Individual provider · Type 1 NPI

Jason L. Otto, MPAS

Medical Physician Assistant · Sheridan, WY

NPI number 1558697177 Active

Practice location

61 S Gould St
Sheridan, WY 82801-6304

Fax (307) 675-2651

Mailing address

1333 W 5th St, Ste 110
Sheridan, WY 82801-2705

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1558697177

Jason L. Otto, MPAS's National Provider Identifier is 1558697177, issued on Nov 2, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Sheridan, WY. The record was last updated on Oct 20, 2025.