Individual
MELVIN L BOTTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16100 N 71ST ST, SUITE 100, SCOTTSDALE, AZ 85254-2209
(480) 656-0016
(480) 634-1723
Mailing address
16100 N 71ST ST, SUITE 100, SCOTTSDALE, AZ 85254-2225
(480) 656-0016
(480) 634-1723
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11143
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257073-02
—
AZ
Enumeration date
08/25/2005
Last updated
02/23/2012
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