NPI 1720163454 · live from the CMS NPI Registry
Joan Bothner, MD
Pediatrics, Pediatric Emergency Medicine in Aurora, CO. National Provider Identifier 1720163454, active.
NPI record
| NPI | 1720163454 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Pediatric Emergency Medicine 2080P0204X |
| Practice location | 13123 E 16th Ave, Aurora, CO 80045 |
| Practice phone | 720-777-1234 |
| Mailing address | Po Box 876, Aurora, CO 80040 |
| Enumerated | October 25, 2006 |
| Last updated | January 4, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Pediatric Emergency Medicine primary | 2080P0204X | 27518 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.