ROBERT TUCKER BOTKIN

BOISE, ID
NPI1720715998
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ID  73537)
Enumeration Date2022-08-06
Last Update Date2022-10-14
Business Address
ROBERT TUCKER BOTKIN PMHNP
1075 E PARK BLVD
BOISE, ID 83712-7722
Phone number: 208-381-5970
Mailing Address
ROBERT TUCKER BOTKIN PMHNP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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