Individual
ADONIS S AL-BOTROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 N LEE AVE STE 105, OKLAHOMA CITY, OK 73103-2620
(405) 600-6730
(405) 600-6750
Mailing address
1111 N LEE AVE STE 105, OKLAHOMA CITY, OK 73103-2620
(405) 600-6730
(405) 600-6750
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
21751
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100224280A
—
OK
Enumeration date
05/30/2006
Last updated
02/24/2012
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