Individual
RICHARD MICHAEL BOTKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRSS
Contact information
Practice address
1520 WASHINGTON ST E, CHARLESTON, WV 25311-2511
(304) 414-5949
Mailing address
1520 WASHINGTON ST E, CHARLESTON, WV 25311-2511
(304) 414-5949
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
18-916
WV
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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