Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHARLES DANIEL OTERO, PA
ActiveMR. CHARLES DANIEL OTERO, PA is a Physician Assistant healthcare provider located in CLOVIS, New Mexico. NPI 1255375903 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CLOVIS, NM
Registration Details
- NPI Number
- 1255375903
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2006 (20.120878941739 yrs)
- Last Updated
- Dec 27, 2016
- License
-
93-PA01 (NM)
Practice Information
- Address
-
701 ARIZONA STSUITE ACLOVIS, NM, 881012110Browse NM providers · Browse ZIP 88101
- Phone
- 5757423033
- Fax
- 5757421133
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in CLOVIS, NM
| Name | Credential | NPI |
|---|---|---|
| ROBERT DALE BITNER | PA | 1851372858 |
| MARK A STANDLEY | PA-C | 1114445590 |
| JEREMY GANZ | PA | 1053805671 |
| CHARLA MARIE DUNN | PA-C | 1225678543 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.