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Organization
PETER BOTTAR DO INC
Active
Organization
PETER BOTTAR DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER BOTTAR DO (PRESIDENT)
(330) 534-9711
Entity
Organization
Contact information
Practice address
50 OAK KNOLL DR., HUBBARD, OH 44425-2198
(330) 534-9711
Mailing address
50 OAK KNOLL DR., HUBBARD, OH 44425-2198
(330) 534-9711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2996
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0501915
—
OH
Enumeration date
11/16/2007
Last updated
11/16/2007
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