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Individual

RONALD J BOTELHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
925 BEVINS CT, LAKEPORT, CA 95453-9754
(707) 263-8382
(707) 263-1909
Mailing address
PO BOX 1950, LAKEPORT, CA 95453-1950
(707) 263-8382
(707) 263-1909

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
10484
NV
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G53308
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100501809
NV
Enumeration date
03/24/2006
Last updated
08/01/2025
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