| B Bottenberg D O Prfsnl Corp | |
|
550 W Washington St Suite 1 Carson City NV 89703-3829 | |
| (775) 883-3953 | |
| (775) 885-2785 |
| Full Name | B Bottenberg D O Prfsnl Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 550 W Washington St, Carson City, Nevada |
| Authorized Official Name and Position | B Alan Bottenberg (PHYSICIAN) |
| Authorized Official Contact | 7758833953 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| B Bottenberg D O Prfsnl Corp 550 W Washington St Ste 1 Carson City NV 89703-3829 Ph: (775) 883-3953 | B Bottenberg D O Prfsnl Corp 550 W Washington St Suite 1 Carson City NV 89703-3829 Ph: (775) 883-3953 |
| NPI Number | 1417139577 |
|---|---|
| Provider Enumeration Date | 11/30/2007 |
| Last Update Date | 12/05/2007 |
| Medicare PECOS PAC ID | 5698757060 |
|---|---|
| Medicare Enrollment ID | O20040601001307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417139577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | DO674 (Nevada) | Primary |
| Provider Name | B Alan Bottenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942210349 PECOS PAC ID: 8224010699 Enrollment ID: I20040602000163 |
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