Individual
JOSH BOTTOMLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4824 GREEN COUNTRY RD, EDMOND, OK 73034-0900
(405) 501-4697
Mailing address
4824 GREEN COUNTRY RD, EDMOND, OK 73034-0900
(405) 501-4697
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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