IndividualActive
Eric Ottenbacher, PA
NPI 1952308967 · Physician Assistant · Cheyenne, WY
Provider details
- NPI number
- 1952308967
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- PA10004156 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2030 Bluegrass Cir
Cheyenne, WY 82009-7328
Phone: (317) 635-3500
Approximate (ZIP-level) locationGet directions
Mailing address
2030 Bluegrass Cir
Cheyenne, WY 82009-7328
Registry dates
- Enumerated
- 2005-07-05
- Last updated
- 2025-07-31
- Certified
- 2025-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.