Issa M Botros MD

NPI 1124227772 - Family Medicine - 207QA0505X

NPI Details
NPI 1124227772
Gender Male
Enumeration Date 07/13/2007
Last Updated 04/08/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
1499 W 1ST ST
SAN PEDRO CA, 90732-3255, US
Phone (310) 241-2590
Fax
Business Location
1499 W 1ST ST
SAN PEDRO CA, 90732-3255, US
Phone (310) 241-2590
Fax
Toxanomy
Taxonomy Code 207QA0505X
License State Michigan
License Number 4301090843
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According to our database, Dr. Issa M Botros MD NPI is 1124227772, taxonomy code is 207QA0505X and license number is 4301090843, license state is located at Michigan. Issa M Botros MD physically located at 1499 W 1st St, San Pedro CA, 90732-3255. NPI Number Issa M Botros MD has the Individual type.

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1124227772 NPI number is provided on an as is basis without warranty of any kind. 1124227772 is maintained by the National Plan & Provider Enumeration System. The contents of Issa M Botros MD are for informational purposes only.