Dr RAYMOND J OTTO MD is a male medical professional, specializing in Preventative Medicine. He graduated in 1992 from Medical College Of Wisconsin.
ST LUKES CLINIC-TREASURE VALLEY LLC
3277 E LOUISE DR
MERIDIAN
ID
836429360
Tel:
| Npi | 1063455301 |
| Pac Id | 2365428372 |
| Professional Enrollment Id | I20141108000016 |
| Last Name | OTTO |
| First Name | RAYMOND |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 1992 |
| Primary Specialty | PREVENTATIVE MEDICINE |
| Secondary Specialty 1 | EMERGENCY MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | EMERGENCY MEDICINE |
| Organization Legal Name | ST LUKES CLINIC-TREASURE VALLEY LLC |
| Group Practice Pac Id | 4981878402 |
| Number Of Group Practice Members | 746 |
| Line 1 Street Address | 3277 E LOUISE DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | MERIDIAN |
| State | ID |
| Zip Code | 836429360 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 130006 |
| Hospital Affiliation Lbn 1 | ST LUKE'S REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 131312 |
| Hospital Affiliation Lbn 2 | ST LUKE'S MCCALL |
| Hospital Affiliation Ccn 3 | 130007 |
| Hospital Affiliation Lbn 3 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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