Individual
ALLEN DAVID BOTT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3120 WEBSTER ST, OAKLAND, CA 94609-3421
(510) 834-1813
(510) 834-9221
Mailing address
3120 WEBSTER ST, OAKLAND, CA 94609-3421
(510) 834-1813
(510) 834-9221
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
G27329
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G273290
—
CA
Enumeration date
09/07/2005
Last updated
11/20/2019
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