Individual provider · Type 1 NPI
Chris Otto, PA
Medical Physician Assistant · Laramie, WY
NPI number
1982051850
Active
Practice location
3236 E Grand Ave Ste D
Laramie, WY 82070-5100
Fax (307) 460-9880
Other practice locations
- 3810 E Grand Ave, Laramie, WY 82070-5179 · (307) 721-1794
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA734 (WY) |
Medical Physician Assistant: Definition to come...
4 other providers at this address
- Grand Ave Family MedicineFamily Medicine Physician Laramie, WY NPI 1437842390
- Grand Avenue Urgent Care, LLCUrgent Care Clinic/Center Laramie, WY NPI 1174983118
- John Jacobs Iii, NP-CAcute Care Nurse Practitioner Laramie, WY NPI 1497184378
- Philip Lerory Sanders Iii, FNP-CFamily Nurse Practitioner Laramie, WY NPI 1477109445
About NPI 1982051850
Chris Otto, PA's National Provider Identifier is 1982051850, issued on May 19, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Laramie, WY. The record was last updated on Jun 28, 2023.