Individual
STEPHANIE LYNN BOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5115 CENTRE AVE, PITTSBURGH, PA 15232-1301
(412) 647-2811
Mailing address
5115 CENTRE AVE, PITTSBURGH, PA 15232-1301
(412) 235-1020
(412) 623-2810
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA062859
PA
Other
Enumeration date
10/13/2021
Last updated
04/19/2023
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