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Chris Otto, PA
NPI 1982051850 · on the registry since 2016
Practice
- Address
- 3236 E Grand Ave Ste D
Laramie, WY 82070 - Phone
- (307) 760-8602
- Fax
- (307) 460-9880
- Organisation at this address
- Kurt S. Johnson, Md, Pc
Grand Ave Family Medicine
Grand Avenue Urgent Care, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Additional practice sites
- 3810 E Grand Ave, Laramie, WY
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- WY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-28
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 Wyoming