MARK RISEN OTSTOT

ROANOKE, VA
NPI1225998271
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-11-13
Last Update Date2025-11-13
Business Address
MARK RISEN OTSTOT
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014-1838
Phone number: 540-981-7000
Mailing Address
MARK RISEN OTSTOT
3730 INGLESIDE BLVD APT 6402
LADSON, SC 29456-4453
Phone number: 706-469-4782
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