LEE THEODORE BOTTEM

BROKEN ARROW, OK
NPI1679745418
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207W00000X Ophthalmology
(Licence: OK  4175)
Enumeration Date2008-04-01
Last Update Date2019-09-06
Business Address
LEE THEODORE BOTTEM D.O.
4700 W URBANA ST
BROKEN ARROW, OK 74012-5997
Phone number: 918-290-2300
Mailing Address
LEE THEODORE BOTTEM D.O.
4700 W URBANA ST
BROKEN ARROW, OK 74012-5997
Phone number: 918-290-2300