NPI 1063455301

Raymond J Otto, MD

Practitioner Undersea and Hyperbaric Medicine (Emergency Medicine) Physician Boise, ID

Practice location

Address: 600 Robbins Rd, Boise, ID 83702
Phone: (208) 489-5800
Mailing address: PO Box 165, Boise, ID 83701-0165

Registered specialties (2)

Undersea and Hyperbaric Medicine (Emergency Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207PE0005X Licence M-9590 (ID)

Other Emergency Medicine providers in Idaho →

Emergency Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence M-9590 (ID)

Registry record

NPI: 1063455301
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jun 2006
Record last updated: 3 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.