Individual
MR. STEPHEN K BOTH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
208 S MAIN ST, OMAK, WA 98841-9755
(325) 660-5535
(325) 692-6030
Mailing address
3301 S 14TH ST STE 16180, ABILENE, TX 79605-5015
(325) 675-6466
(325) 692-6030
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28216719
IN
Other
Enumeration date
06/27/2014
Last updated
11/01/2020
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