Individual
BRANDON SCOTT BOTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1721 UNIVERSITY AVE S, FAIRBANKS, AK 99709-4964
(907) 371-3005
Mailing address
1721 UNIVERSITY AVE S, FAIRBANKS, AK 99709-4964
(907) 371-3005
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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