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1306936984
JEFFREY ROBERT BOTKIN
SALT LAKE CITY, UT
NPI
1306936984
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: UT 187540-1205)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
JEFFREY ROBERT BOTKIN MD
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-3501
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Mailing Address
JEFFREY ROBERT BOTKIN MD
PO BOX 581100
SALT LAKE CITY, UT 84158-1100
Phone number: 801-213-3800
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