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1053762583
DANIEL CRAIG BOTHWELL
FORT WAINWRIGHT, AK
NPI
1053762583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MT 101294)
Enumeration Date
2016-06-27
Last Update Date
2022-01-10
Business Address
Dr. DANIEL CRAIG BOTHWELL D.O.
3406 ALDER AVE
FORT WAINWRIGHT, AK 99703
Phone number: 073-531-2389
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Mailing Address
Dr. DANIEL CRAIG BOTHWELL D.O.
USA MEDDAC-AK ATTN: MCUC-MMD-QM (CREDENTIALS) 1060 GAFFNEY RD
FT. WAINWRIGHT, AK 99703-7440
Phone number: 907-361-5603
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