Individual
DAVID BOTTORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HA
Contact information
Practice address
1325 S KIHEI RD, SUITE 225A, KIHEI, HI 96753-8179
(808) 875-4517
Mailing address
1325 S KIHEI RD, SUITE 225A, KIHEI, HI 96753-8179
(808) 875-4517
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
HA-184
HI
Other
Enumeration date
09/16/2007
Last updated
09/16/2007
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