Individual
DR. MARK ANDREW BOTWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D. P.A.
Contact information
Practice address
444 SAINT MICHAELS DR, SANTA FE, NM 87505-7602
(505) 954-4442
(505) 954-4448
Mailing address
444 SAINT MICHAELS DR, BLDG A, SANTA FE, NM 87505-7602
(505) 954-4442
(505) 954-4448
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
311
NM
Other
Enumeration date
06/15/2006
Last updated
06/25/2012
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