Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDOLPH OTTO, MD
ActiveRANDOLPH OTTO, MD is a Pediatric Radiology healthcare provider located in TACOMA, Washington. NPI 1881767606 is currently active in the NPPES registry. Verify at CMS.
Pediatric Radiology · TACOMA, WA
Registration Details
- NPI Number
- 1881767606
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 17, 2006 (19.552123074378 yrs)
- Last Updated
- Jul 8, 2007
- License
-
00027380 (WA)
Practice Information
- Address
-
2202 S CEDAR ST STE 200TACOMA, WA, 984052318Browse WA providers · Browse ZIP 98405
- Phone
- 2533831099
- Fax
- 2533833919
- Primary Specialty
-
Pediatric Radiology
2085P0229X
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.