Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUTUMN LEE OTTO, PA-C
Active Sole ProprietorAUTUMN LEE OTTO, PA-C is a Surgical Physician Assistant healthcare provider located in BANGOR, Maine. NPI 1558189282 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · BANGOR, ME
Registration Details
- NPI Number
- 1558189282
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 1, 2024 (1.8857745815511 yrs)
- Last Updated
- Oct 1, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
489 STATE STBANGOR, ME, 044016616Browse ME providers · Browse ZIP 04401
- Phone
- 2079737000
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in BANGOR, ME
| Name | Credential | NPI |
|---|---|---|
| MR. JUDE I TARDY | P.A. | 1508822586 |
| ROCHELLE BETH LOEB | PA-C | 1831143395 |
| MR. JOHN NOWAK | PAC | 1679595433 |
| KEIVER T WELCH | PA | 1922021401 |
| MRS. JUNIA SALVADOR KAIRYS | PA-C | 1093982829 |
| JOHN MICHAEL STUART | PA-C | 1174895627 |
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.