Individual
DR. JOHN D BOTSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 N 9TH ST, BISMARCK, ND 58501-4507
(701) 530-6000
(701) 530-6430
Mailing address
401 N 9TH ST, BISMARCK, ND 58501-4507
(701) 530-6000
(701) 530-6279
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6983
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18113
—
ND
01
—
P00128539
MEDICARE RAILROAD
ND
Enumeration date
05/25/2006
Last updated
10/02/2014
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