Organization
LOUIS D BOTTEGAL, CRNA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS D BOTTEGAL CRNA (PRESIDENT AND CEO)
(412) 680-8740
Entity
Organization
Contact information
Practice address
410 5TH STREET EXT, AVONMORE, PA 15618-9776
(412) 680-8740
(412) 346-0227
Mailing address
410 5TH STREET EXT, AVONMORE, PA 15618-9776
(412) 680-8740
(412) 346-0227
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
PA
207L00000X
Anesthesiology Physician
—
—
Other
Enumeration date
10/02/2017
Last updated
11/27/2017
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