Individual
RICHARD BOTTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-6000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5871
AZ
363AM0700X
Medical Physician Assistant
Primary
PA.0007780
CO
Other
Enumeration date
09/10/2014
Last updated
12/05/2023
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