B Bottenberg D O Prfsnl Corp
NPI #1417139577 in Carson City, Nevada
Provider Information
- NPI Number
- 1417139577
- Entity Type
- Organization
- Organization Name
- B Bottenberg D O Prfsnl Corp
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Nov 30, 2007
- Last Updated
- Dec 5, 2007
Practice Location
- Address
- 550 W WASHINGTON ST
- Address 2
- SUITE 1
- City
- Carson City
- State
- Nevada
- ZIP Code
- 89703-3829
- Phone
- (775) 883-3953
Authorized Official
- Name
- B ALAN BOTTENBERG, D.O.
- Title
- PHYSICIAN
- Phone
- (775) 883-3953
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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