Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHRISTINA OTTERNESS, DO
Active Sole ProprietorCHRISTINA OTTERNESS, DO is a Anatomic Pathology & Clinical Pathology healthcare provider located in BOLIVAR, Missouri. NPI 1992091284 is currently active in the NPPES registry. Verify at CMS.
Anatomic Pathology & Clinical Pathology · BOLIVAR, MO
Registration Details
- NPI Number
- 1992091284
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 24, 2011 (15.177766241034 yrs)
- Last Updated
- May 5, 2022
- Licenses
-
2016014757 (MO)2016014757 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1500 N OAKLAND AVEBOLIVAR, MO, 656133011Browse MO providers · Browse ZIP 65613
- Phone
- 4173286036
- Fax
- 4173286039
- Primary Specialty
-
Anatomic Pathology & Clinical Pathology
207ZP0102X
- Additional Specialty
- Anatomic Pathology & Clinical Pathology
Other Anatomic Pathology & Clinical Pathology Providers in BOLIVAR, MO
| Name | Credential | NPI |
|---|---|---|
| EMILY LOUISE WICKERSHAM | DO | 1093175358 |
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.