Individual
SERGIU BOTOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
4110 BRIARGATE PKWY STE 100B, COLORADO SPRINGS, CO 80920-7836
(719) 364-0160
(719) 364-0161
Mailing address
2695 ROCKY MOUNTAIN AVE, STE 150, LOVELAND, CO 80538-9071
(719) 473-3332
(719) 776-4750
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
52654
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38812525
—
CO
Enumeration date
05/22/2008
Last updated
02/16/2022
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