Individual
JAMES SAMUEL BOTWRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT(AAB), TSO, CIC
Contact information
Practice address
30 EL PASO BLVD APT 8, MANITOU SPRINGS, CO 80829-2451
(214) 940-9177
Mailing address
30 EL PASO BLVD APT 8, MANITOU SPRINGS, CO 80829-2451
(214) 940-9177
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
174H00000X
Health Educator
—
—
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
20122376
CO
207ZB0001X
Blood Banking & Transfusion Medicine Physician
20122376
CO
207ZI0100X
Immunopathology Physician
20122376
CO
207ZM0300X
Medical Microbiology Physician
20122376
CO
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
20122376
CO
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
105785
CO
246QB0000X
Blood Banking Specialist/Technologist
—
—
246QH0401X
Hemapheresis Practitioner
—
—
246QM0706X
Medical Technologist
—
—
246QM0900X
Microbiology Specialist/Technologist
—
—
246ZB0500X
Biochemist
—
—
251K00000X
Public Health or Welfare Agency
—
—
405300000X
Prevention Professional
105785
CO
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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