NPI 1710399761
Alan Ottarson, NRP
Practice location
- Address
- 6595 Main St, Gloucester, VA 23061-6103
- Phone
- (804) 693-2148
- Mailing address
- PO Box 112, Ware Neck, VA 23178-0112
Registered specialties
Paramedic
Primary
Registry record
- NPI
- 1710399761
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 27 May 2014
- Record last updated
- 27 May 2014
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.