Individual
HERBERT O BOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 HOSPITAL PL STE 204, SOLDOTNA, AK 99669-7559
(907) 714-4120
(844) 412-3943
Mailing address
PO BOX 1534, SOLDOTNA, AK 99669-1534
(907) 420-3540
(907) 312-5881
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
8038
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1610981
—
AK
Enumeration date
07/07/2006
Last updated
04/06/2021
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