Mark Arden Boettler in Dayton - Internal Medicine

Mark Arden Boettler - NPI 1124052212

Mark Arden Boettler is a Internal Medicine in Dayton, Ohio. Mark Arden Boettler practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mark Arden Boettler is 1124052212. The last update date is 2008-01-22.

Mark Arden Boettler's current location address is 6136 Old Spanish Trl, Dayton, Ohio. You can contact this provider via phone number 9374280652. The mailing address for Mark Arden Boettler is 6136 Old Spanish Trl, Dayton, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Arden Boettler
Address 6136 Old Spanish Trl, Dayton, Ohio
Phone Number 9374280652
Fax Number
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1124052212
Provider Enumeration Date 2006-07-11
Last Updated Date 2008-01-22

Provider Mailing Address Detail

Address 6136 Old Spanish Trl
City Dayton
State Ohio (OH)
Post Code 454591453
Phone Number 9374280652
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 35057004
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

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FAQs about Mark Arden Boettler

What is the unique 10-digit identification code assigned to Mark Arden Boettler by the Centers for Medicare & Medicaid Services?

The Mark Arden Boettler has been issued the NPI (National Provider Identifier) 1124052212, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Mark Arden Boettler's facilities are geographically located?

The facilities of Mark Arden Boettler are physically situated at the following location: 6136 Old Spanish Trl, Dayton, OH, 454591453.

What is the area of specialization for Mark Arden Boettler, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mark Arden Boettler is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.

On what date was the 1124052212 assigned to Mark Arden Boettler?

The Mark Arden Boettler was issued its 1124052212 on 2006-07-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Mark Arden Boettler most recently updated?

The details pertaining to the Mark Arden Boettler, including its address, specialty, and other relevant information, were last refreshed on 2008-01-22.

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