Individual
DAVID B. BOTROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 N MEDICAL DR RM 5323, SALT LAKE CITY, UT 84112-1103
(801) 581-2121
Mailing address
175 N MEDICAL DR RM 5323, SALT LAKE CITY, UT 84112-1103
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
13509675-1205
UT
Other
Enumeration date
12/02/2019
Last updated
08/03/2023
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