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1790705283
ROGER KEITH OTTMAN
NAMPA, ID
NPI
1790705283
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: ID M-3812)
Enumeration Date
2006-07-20
Last Update Date
2007-07-08
Business Address
DR. ROGER KEITH OTTMAN MD
1512 12TH AVE RD
NAMPA, ID 83686-6008
Phone number: 208-463-5100
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Mailing Address
DR. ROGER KEITH OTTMAN MD
1100 RIVER HEIGHTS DR
MERIDIAN, ID 83642-5166
Phone number: 208-841-1814
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