Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | DR.0061552 | CO |
N | 207XS0117X | Orthopaedic Spine Surgeon | DR.0061552 | CO |
NPI | 1073931705 |
---|---|
Provider Name | Christina Ottomeyer |
First Address | Thornton, CO 80229-4384 |
Second Address | Thornton, CO 80229-4384 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2014 |
Last Update Date | 21/11/2019 |