Individual provider · NPI-1
Otis Mark Hastings, M.D.
Emergency Medicine · Lakewood, OH
NPI number1831146463
StatusActive
Last updated in NPPESMay 2, 2008
Details
- NPI
- 1831146463
- Entity type
- Individual (NPI-1)
- Name
- Otis Mark Hastings
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 28, 2006
- Last updated
- May 2, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 35059241H | OH | Yes |
Practice location
14519 Detroit AveLakewood, OH 44107-4316
Phone 216-521-4200
Mailing address
28625 Woodmill DrWestlake, OH 44145-2085
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