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Search › Missouri › 207X00000X

Randall Otto, M.D

NPI 1841494689 · on the registry since 2007

Practice

Address
1011 Bowles Ave Ste 400
Fenton, MO 63026
Phone
(314) 977-7200
Fax
(636) 326-6533
Organisation at this address
Ssm Medical Group
Loup Dialysis Llc
Ssm Medical Group
Ssm Medical Group Inc.
Faris Al-Gebory Md Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
67

Registry record

Primary taxonomy
207X00000X
207X00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-02-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri