Otto, Maxwell James

Otto, Maxwell James is an individual health care provider with primary practice located at 1250 E 3900 S Ste 320 , Salt Lake City UT 84124-1350. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Otto, Maxwell James can be contacted via phone (801) 263-1621.

Contact Information

Primary practice address
1250 E 3900 S Ste 320 Salt Lake City UT 84124-1350
Phone: (801) 263-1621
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 13339040-1205 Utah
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 13339040-1205 Utah

Profile Details

NPI number 1770078982
LBN Legal business name Otto, Maxwell James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2018
Last updated Jan 24th, 2024 - about 2 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.

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