National Provider Identifier Database

JEAN F BOTHA, MD – NPI #1982661344
Transplant Surgery

A surgeon who specializes in transplant surgery.


Contact Information

JEAN F BOTHA, MD
5171 S COTTONWOOD ST STE 210
MURRAY, UT84107-5718
Phone: 801-507-3380
Fax: 385-297-2048
Website:
Specialty Taxonomy Code
* Transplant Surgery 204F00000X

* Indicates primary specialty

NPI Profile & details for JEAN F BOTHA

NPI Number 1982661344
Credentials MD
Entity Individual
Enumeration date 04/28/2006
Last updated 03/28/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • NE License #: 22313
  • UT License #: 12742339-1205
  • NE Medicaid: 47078557580
Hospital affiliation n/a

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.

Reviews for JEAN F BOTHA, MD

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