Individual
DR. JOHN JACOB BOTTORFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
407 ULUNIU ST STE 411, #411, KAILUA, HI 96734-2544
(808) 263-7203
Mailing address
407 ULUNIU ST STE 411, #411, KAILUA, HI 96734-2544
(808) 263-7203
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
E-6686
AR
207P00000X
Emergency Medicine Physician
Primary
MD-16745
HI
Other
Enumeration date
08/27/2007
Last updated
01/22/2016
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