Individual
WARREN C BOTNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 KEYSER AVE, NATCHITOCHES, LA 71457-6020
(318) 214-5770
Mailing address
PO BOX 2475, NATCHITOCHES, LA 71457-2475
(318) 214-5770
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD.207802
LA
207RP1001X
Pulmonary Disease Physician
Primary
MD.207802
LA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD.207802
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000862738B
—
GA
Enumeration date
08/09/2005
Last updated
07/15/2020
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