IndividualActive
Gary Ottersbach, PA-C
NPI 1699861732 · Medical Physician Assistant · Casper, WY
Provider details
- NPI number
- 1699861732
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA1001 (NV)
Mailing address
2521 E 15th St
Casper, WY 82609-4126
Registry dates
- Enumerated
- 2006-10-05
- Last updated
- 2010-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.