CHRISTINA OTTERNESS

BOLIVAR, MO
NPI1992091284
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: MO  2016014757)
Additional Taxonomies207ZB0001X Pathology, Blood Banking & Transfusion Medicine
(Licence: MO  2016014757)
Enumeration Date2011-06-24
Last Update Date2022-05-05
Business Address
CHRISTINA OTTERNESS DO
1500 N OAKLAND AVE
BOLIVAR, MO 65613-3011
Phone number: 417-328-6036
Mailing Address
CHRISTINA OTTERNESS DO
1500 N OAKLAND AVE
BOLIVAR, MO 65613-3099
Phone number: 417-328-6036