CODY BOTHEL

PORTLAND, ME
NPI1952892978
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ME  PA1793)
Enumeration Date2018-05-24
Last Update Date2018-09-21
Business Address
CODY BOTHEL PA-C
33 SEWALL ST
PORTLAND, ME 04102-2603
Phone number: 207-272-2734
Mailing Address
CODY BOTHEL PA-C
324 GANNETT DR STE 200
SOUTH PORTLAND, ME 04106-3266
Phone number: 207-482-7800
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