Dr. Mario Otto
M.D., PH.D. | Pediatric Hematology-Oncology | Male
Dr. Mario Otto, M.D., PH.D. is a Phoenix, Arizona based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of Dr. Mario Otto is
1919 E Thomas Rd, Phoenix, Arizona - 85016-7710. He can be contacted on phone at
602-933-0920 and fax number 602-933-2492.
Dr. Mario Otto is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Mario Otto is
1306064654 which was assigned by NPPES on 23 Apr, 2007 and it was last updated on 12 Oct, 2021.
Dr. Mario Otto license number is
63758 for Pediatrics Pediatric Hematology-Oncology (2080P0207X) in Arizona.
Dr. Mario Otto is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Dr. Mario Otto basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Hematology-Oncology |
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| Provider Name : | Dr. Mario Otto |
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| Credential : | M.D., PH.D. |
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| Gender : | Male |
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Business Address:
Dr. Mario Otto address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1919 E Thomas Rd
Phoenix, AZ, 85016-7710
United States |
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| Phone Number : | 602-933-0920 |
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| Fax Number : | 602-933-2492 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1306064654 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 23 Apr, 2007 |
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| Last Updated On : | 12 Oct, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mario Otto are as mentioned. Primary taxonomy code for Dr. Mario Otto, M.D., PH.D. is
2080P0207X (Pediatrics Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | Yes | 63758 | AZ |
| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | No | 52752-20 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Mario Otto such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 097026 | MEDICAID | AZ | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3200 E Camelback Rd Ste 250
Phoenix, AZ, 85018-2327
United States |
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| Phone Number : | 602-933-1814 |
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Business Location:
Patients can refer following map for directions to
Dr. Mario Otto practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.