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Contact Information

ALLEN R BOTIMER, MD
11234 ANDERSON ST
GME OFFICE WESTERLY SUITE C
LOMA LINDA, CA92354-2804
 Phone: 909-558-4015
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for ALLEN R BOTIMER · (Male)

NPI # 1558707521
Status Active
Credentials MD
Entity Individual
Enumeration date 05/17/2013
Last updated 04/13/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M-14062
Hospital affiliation(s)
  • ST LUKES REGIONAL MEDICAL CENTER - (Acute Care)
    190 EAST BANNOCK STREET
    BOISE, ID 83712
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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