Individual
JOSHUA RANDEL BOTTEICHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
155 WELLNESS WAY, STATE COLLEGE, PA 16803-6702
(814) 231-7000
(814) 231-7098
Mailing address
155 WELLNESS WAY, STATE COLLEGE, PA 16803-6702
(814) 231-7000
(814) 231-7098
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
7
OH
2085R0202X
Diagnostic Radiology Physician
Primary
OS018570
PA
Other
Enumeration date
03/12/2012
Last updated
03/25/2026
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