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Contact Information

RAYMOND J OTTO, MD
600 ROBBINS RD
BOISE, ID83702
 Phone: 208-489-5800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

207PE0005X 93 Physician/Emergency Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for RAYMOND J OTTO · (Male)

NPI # 1063455301
Status Active
Credentials MD
Entity Individual
Enumeration date 06/14/2006
Last updated 08/03/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M-9590
  • ID Medicaid 807447900
Hospital affiliation(s)
  • ST ALPHONSUS REGIONAL MEDICAL CENTER - (Acute Care)
    1055 NORTH CURTIS ROAD
    BOISE, ID 83706
  • ST LUKE'S ELMORE MEDICAL CENTER - (Critical Access)
    895 NORTH 6TH EAST
    MOUNTAIN HOME, ID 83647
  • ST LUKE'S MCCALL - (Critical Access)
    1000 STATE STREET
    MC CALL, ID 83638
  • ST LUKES REGIONAL MEDICAL CENTER - (Acute Care)
    190 EAST BANNOCK STREET
    BOISE, ID 83712
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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