Clifford Neill Otte in Beavercreek - Physician Assistant
Clifford Neill Otte - NPI 1043287790
Clifford Neill Otte is a Physician Assistant in Beavercreek, Ohio. Clifford Neill Otte practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Clifford Neill Otte is 1043287790. The last update date is 2022-07-21.
Clifford Neill Otte's current location address is 2122 Bandit Trl, Beavercreek, Ohio. You can contact this provider via phone number 9373062195. The mailing address for Clifford Neill Otte is 2122 Bandit Trl, Beavercreek, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clifford Neill Otte |
|---|---|
| Address | 2122 Bandit Trl, Beavercreek, Ohio |
| Phone Number | 9373062195 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1043287790 |
|---|---|
| Provider Enumeration Date | 2006-03-01 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 2122 Bandit Trl |
|---|---|
| City | Beavercreek |
| State | Ohio (OH) |
| Post Code | 454345605 |
| Phone Number | 9373062195 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the Clifford Neill Otte's unique identification number?
The Clifford Neill Otte has been assigned the NPI (National Provider Identifier) Number 1043287790 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Clifford Neill Otte?
The Clifford Neill Otte is situated at 2122 Bandit Trl, in the city of Beavercreek, state of OH, with the zip code 454345605.
What is Clifford Neill Otte's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Clifford Neill Otte is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did Clifford Neill Otte receive its 1043287790 assignment from the Centers for Medicare & Medicaid Services?
The Clifford Neill Otte was assigned its 1043287790 on 2006-03-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Clifford Neill Otte, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Clifford Neill Otte, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-07-21.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY