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Individual

DR. DOUGLAS J BOTTORFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6301 ROCKHILL RD, SUITE 312, KANSAS CITY, MO 64131-1124
(816) 363-2222
Mailing address
6301 ROCKHILL RD, SUITE 312, KANSAS CITY, MO 64131-1124
(816) 363-2222

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
005547
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15604013
BLUE CROSS BLUE SHEILD
MO
Enumeration date
05/01/2007
Last updated
07/08/2007
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