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Randall Jason Otto, MD
Orthopedic Surgery Physician in Fenton, Missouri
NPI 1841494689

Randall Jason Otto is a Orthopedic Surgery Physician based in Saint Louis, MO. Randall Jason Otto practices in Fenton, MO and has the professional credentials of MD. The NPI Number for Randall Jason Otto is 1841494689 and holds a License No. 2012011162 (Missouri).

The current practice location address for Randall Jason Otto is 1011 Bowles Ave Ste 400, Fenton, MO and can be reached out via phone at 314-977-7200 and via fax at 636-326-6533. You can also correspond with Randall Jason Otto through the mailing address at 1008 S SPRING AVE FL 1, SAINT LOUIS, MO - 63110-2520 (mailing address contact number: 314-977-5350).

Location: 1011 Bowles Ave Ste 400, Fenton, MO, 63110-2520
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841494689
Provider Name
Randall Jason Otto
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1011 Bowles Ave Ste 400, Fenton, MO, 63110-2520
Phone Number
314-977-7200
Fax Number
636-326-6533
Provider Enumeration Date
06/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
136637 01 MO HEALTHCARE USA
4258558 01 MO CIGNA
501357701 05 MO
122950063 01 MO MEDICARE PTAN
A82171 01 MO HEALTHLINK
771091 01 MO ANTHEM BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1011 Bowles Ave Ste 400
City
Fenton
State
Missouri
Zip
63026-2387
Phone Number
314-977-7200
Fax Number
636-326-6533
person
Provider Business Mailing Address Details
Address
1011 Bowles Ave Ste 400
City
Fenton
State
Missouri
Zip
63026-2387
Phone Number
314-977-7200
Fax Number
636-326-6533
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
2012011162 (Missouri)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
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