Organization
HCIORTHO
Active
Other names
HCI Ortho LLC dba SportsMed Alaska
Organization subpart
No
Provider details
NPI number
Authorized official
HERBERT O BOTE MD (OWNER)
(413) 770-1135
Entity
Organization
Contact information
Practice address
289 N FIREWEED ST STE B, SOLDOTNA, AK 99669-7570
(907) 420-3540
(907) 312-5881
Mailing address
PO BOX 1534, SOLDOTNA, AK 99669-1534
(413) 770-1135
(907) 312-5881
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
8038
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1633107
—
AK
Enumeration date
08/11/2015
Last updated
07/08/2019
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