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:
Health care specialties
Specialty | Code | License # | 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 last year |
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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