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Todd M Otstot, PA-C
Medical Physician Assistant in Caldwell, Idaho
NPI 1275523276

Todd M Otstot is a Medical Physician Assistant based in Caldwell, ID and is specialized in Medical. Todd M Otstot practices in Caldwell, ID and has the professional credentials of PA-C. The NPI Number for Todd M Otstot is 1275523276 and holds a License No. PA-356 (Idaho).

The current practice location address for Todd M Otstot is 206 E Elm St, Caldwell, ID and can be reached out via phone at 208-459-4511. You can also correspond with Todd M Otstot through the mailing address at 206 E ELM ST, CALDWELL, ID - 83605-4815 (mailing address contact number: 208-459-4511).

Location: 206 E Elm St, Caldwell, ID, 83605-4815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275523276
Provider Name
Todd M Otstot
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
206 E Elm St, Caldwell, ID, 83605-4815
Phone Number
208-459-4511
Fax Number
Provider Enumeration Date
10/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010035293 01 ID BLUE SHIELD
970022197 01 ID RAILROAD MEDICARE
806153700 05 ID
000010035292 01 ID BLUE SHIELD
PAA02 01 ID BLUE CROSS
PAAE9 01 ID BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
206 E Elm St
City
Caldwell
State
Idaho
Zip
83605-4815
Phone Number
208-459-4511
Fax Number
person
Provider Business Mailing Address Details
Address
206 E Elm St
City
Caldwell
State
Idaho
Zip
83605-4815
Phone Number
208-459-4511
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA356 (Idaho)
Definition
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA-356 (Idaho)
Definition
Definition to come...
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