Individual provider · Type 1 NPI

Gary M. Ottersbach, PA-C

Medical Physician Assistant · Casper, WY

NPI number 1699861732 Active

Practice location

2521 E 15th St
Casper, WY 82609-4126

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA1001 (NV)
Medical Physician Assistant Primary 363AM0700X115 (WY)

Medical Physician Assistant: Definition to come...

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About NPI 1699861732

Gary M. Ottersbach, PA-C's National Provider Identifier is 1699861732, issued on Oct 5, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Casper, WY. The record was last updated on Mar 31, 2010.