DR. DIANA OTTULICH, MD

Military Health Care Provider

Active Individual
NPI: 1629715552

Practice Address

822 CLARK ST
Pearl Harbor, HI 96860

Phone: (757) 836-5929

Specialties

Specialty Code Primary License
General Practice 208D00000X No 0101280042 (VA)
Student in an Organized Health Care Education/Training Program 390200000X No -
Military Health Care Provider 171000000X Yes 0101280042 (VA)

Frequently Asked Questions

NPI 1629715552 is the National Provider Identifier for DR. DIANA OTTULICH, MD, a Military Health Care Provider provider located in Pearl Harbor, HI. This NPI was enumerated on May 12, 2022.
DR. DIANA OTTULICH, MD practices at 822 CLARK ST, Pearl Harbor, HI 96860.

Quick Facts

NPI
1629715552
Type
Individual
Enumerated
May 12, 2022
Last Updated
May 28, 2024

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