Individual
DR. MARK L BOTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
75 S MADISON ST STE 200, DENVER, CO 80209-3037
(303) 321-2252
Mailing address
75 S MADISON ST STE 200, DENVER, CO 80209-3037
(303) 321-2252
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5871
CO
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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