Organization
RONALD J. BOTELHO, MD, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD J BOTELHO M.D. (PRESIDENT)
(707) 569-3230
Entity
Organization
Contact information
Practice address
1221 FARMERS LN, SUITE 500, SANTA ROSA, CA 95405-6712
(707) 569-3230
(707) 523-0119
Mailing address
PO BOX 14578, SANTA ROSA, CA 95402-6578
(707) 569-3230
(707) 523-0119
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G53308
CA
Other
Enumeration date
02/05/2010
Last updated
07/15/2015
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