Nici Eddy Bothwell MD

NPI 1033195417 - Otolaryngology - 207Y00000X

NPI Details
NPI 1033195417
Gender Female
Enumeration Date 12/19/2005
Last Updated 10/20/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
104 27TH AVE SE
PUYALLUP WA, 98374-1145, US
Phone (253) 770-9000
Fax (253) 770-9712
Business Location
PO BOX 1205
PUYALLUP WA, 98371-0231, US
Phone (253) 770-9000
Fax (253) 968-3154
Toxanomy
Taxonomy Code 207Y00000X
License State Washington
License Number MD60209581
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According to our database, Dr. Nici Eddy Bothwell MD NPI is 1033195417, taxonomy code is 207Y00000X and license number is MD60209581, license state is located at Washington. Nici Eddy Bothwell MD physically located at 104 27th Ave Se, Puyallup WA, 98374-1145. NPI Number Nici Eddy Bothwell MD has the Individual type.

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1033195417 NPI number is provided on an as is basis without warranty of any kind. 1033195417 is maintained by the National Plan & Provider Enumeration System. The contents of Nici Eddy Bothwell MD are for informational purposes only.