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1003879024
MARK J BOTHAM
CLEVELAND, OH
NPI
1003879024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: OH 35060700b)
Enumeration Date
2006-04-10
Last Update Date
2007-12-24
Business Address
-- MARK J BOTHAM md
9500 EUCLID AVE
CLEVELAND, OH 44195-0001
Phone number: 800-223-2273
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Mailing Address
-- MARK J BOTHAM md
6000 W CREEK RD SUITE 10
INDEPENDENCE, OH 44131-2139
Phone number: 800-223-2273
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