| Doctor Name: | MARK JOHN OTT |
| NPI Number: | 1003889262 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 153899 |
| Business Practice Address: | 5169 S Cottonwood St Suite 400 Murray, UT - 841076767 |
| Business Phone Number: | 8015073462 |
| Business Fax Number: | 8015073061 |
| Mailing Address: | 5169 S Cottonwood St, Suite 400 MURRAY |
| State: | UT |
| Postal Code: | 841076767 |
| Phone Number: | 8015073462 |
| Fax Number: | 8015073061 |
| NPI Enumeration Date: | 02/08/2006 |
| NPI Last Update Date: | 01/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086X0206X |
| License Number: | 153899 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Surgical Oncology |
| Taxonomy Definition: | A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |