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NPI Code Detail

MEDICARE: DR. ROBERT JOEL OTTO M.D.

MEDICARE: DR. ROBERT JOEL OTTO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician2014006166MO

General Provider Information

NPI Number : 1003013947
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT JOEL OTTO M.D.
Provider Business Mailing Address
First Line : 2400 PATTERSON ST
Second Line : SUITE 100
City : NASHVILLE
State : TN
Zip : 37203-1562
Country : US
Telephone Number : 615-342-0038
Fax Number :
Provider Business Practice Location Address
First Line : 2400 PATTERSON ST STE 100
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-2385
Country : US
Telephone Number : 615-342-0038
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2007
Last Update Date : 01/12/2022

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Directions to “ DR. ROBERT JOEL OTTO M.D.” Practice Location

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