Individual
CHAD BOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13001 EAST 17TH PLACE, FITZSIMONS BUILDING SUITE E3360, CAMPUS BOX B119, AURORA, CO 80045-0001
(913) 530-7576
Mailing address
418 PINE RIDGE DR, SALINA, KS 67401-3864
(913) 530-7576
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
53283
MN
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
Q5356
TX
Other
Enumeration date
07/06/2007
Last updated
04/08/2019
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