person
Todd W Otto, PA-C
Surgical Physician Assistant in Lima, Ohio
NPI 1891763678

Todd W Otto is a Surgical Physician Assistant based in Lima, OH and is specialized in Surgical. Todd W Otto practices in Lima, OH and has the professional credentials of PA-C. The NPI Number for Todd W Otto is 1891763678 and holds a License No. 50001718 (Ohio).

The current practice location address for Todd W Otto is 801 Medical Dr, Lima, OH and can be reached out via phone at 419-222-6622 and via fax at 419-224-0015.

Location: 801 Medical Dr, Lima, OH, 45804-4099
person
Provider Profile Details
NPI Number
1891763678
Provider Name
Todd W Otto
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
801 Medical Dr, Lima, OH, 45804-4099
Phone Number
419-222-6622
Fax Number
419-224-0015
Provider Enumeration Date
03/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000491275 01 ANTHEM
institution
Provider Business Practice Location Address Details
Address
801 Medical Dr
City
State
Zip
45804-4099
Phone Number
419-222-6622
Fax Number
419-224-0015
person
Provider Business Mailing Address Details
Address
801 Medical Dr
City
State
Zip
45804-4099
Phone Number
419-222-6622
Fax Number
419-224-0015
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
50001718 (Ohio)
Definition
Definition to come...
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