Otteson, Scott Parley
Otteson, Scott Parley is an individual health care provider with primary practice located at 801 W Maple St , Farmington NM 87401-5630. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Otteson, Scott Parley can be contacted via phone (505) 327-2930.Contact Information
Primary practice address
801 W Maple St
Farmington NM 87401-5630
Phone: (505) 327-2930
Fax: (505) 599-6290
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 93-351 | New Mexico |
Profile Details
| NPI number | 1467569350 |
|---|---|
| LBN Legal business name | Otteson, Scott Parley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467569350 | NPPES |
| New Mexico | MEDICAID | 20258 |
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