Individual
DR. CORNELIUS BOTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
541 W 36TH AVE, ANCHORAGE, AK 99503-5804
(907) 561-1543
Mailing address
541 W 36TH AVE, ANCHORAGE, AK 99503-5804
(907) 561-1543
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
191246
AK
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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