Raymond J Otto in Boise - Undersea And Hyperbaric Medicine

Raymond J Otto - NPI 1063455301

Raymond J Otto is a Undersea And Hyperbaric Medicine in Boise, Idaho. Raymond J Otto practices all healthcare services and medical treatments related to Undersea And Hyperbaric Medicine. The NPI Number for Raymond J Otto is 1063455301. The last update date is 2018-08-03.

Raymond J Otto's current location address is Po Box 165, Boise, Idaho. You can contact this provider via phone number 2084895800. The mailing address for Raymond J Otto is Po Box 165, Boise, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Raymond J Otto
Address Po Box 165, Boise, Idaho
Phone Number 2084895800
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1063455301
Provider Enumeration Date 2006-06-14
Last Updated Date 2018-08-03

Provider Mailing Address Detail

Address Po Box 165
City Boise
State Idaho (ID)
Post Code 837010165
Phone Number 2084895800
Fax Number

Provider's Primary Taxonomy Detail

Speciality Undersea And Hyperbaric Medicine
Taxonomy 207Pe0005X
Licence No M-9590
Definition:
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infec

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
807447900 ID --

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FAQs about Raymond J Otto

What is the unique 10-digit identification code assigned to Raymond J Otto by the Centers for Medicare & Medicaid Services?

The Raymond J Otto has been issued the NPI (National Provider Identifier) 1063455301, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Raymond J Otto?

The Raymond J Otto is situated at Po Box 165, in the city of Boise, state of ID, with the zip code 837010165.

What is the Raymond J Otto's area of specialization and corresponding taxonomy classification?

The Raymond J Otto's specialty field is Undersea And Hyperbaric Medicine, and it falls under the taxonomy code 207Pe0005X, which categorizes healthcare providers based on their specialties.

On what date was the 1063455301 assigned to Raymond J Otto?

The Raymond J Otto was issued its 1063455301 on 2006-06-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Raymond J Otto most recently updated or revised?

The information pertaining to Raymond J Otto, including its address, specialty, and other relevant details, was last updated or revised on 2018-08-03.

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