IndividualActive
Chris Otto, PA
NPI 1982051850 · Medical Physician Assistant · Laramie, WY
Provider details
- NPI number
- 1982051850
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- PA734 (WY)
Practice location
3236 E Grand Ave Ste D
Laramie, WY 82070-5100
Phone: (307) 760-8602
Fax: (307) 460-9880
Mailing address
3236 E Grand Ave Ste D
Laramie, WY 82070-5100
Registry dates
- Enumerated
- 2016-05-19
- Last updated
- 2023-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.