person
Jean F Botha, MD
Transplant Surgery Physician in Murray, Utah
NPI 1982661344

Jean F Botha is a Transplant Surgery Physician based in Murray, UT. Jean F Botha practices in Murray, UT and has the professional credentials of MD. The NPI Number for Jean F Botha is 1982661344 and holds a License No. 22313 (Utah).

The current practice location address for Jean F Botha is 5171 S Cottonwood St Ste 210, Murray, UT and can be reached out via phone at 801-507-3380 and via fax at 385-297-2048.

Location: 5171 S Cottonwood St Ste 210, Murray, UT, 84107-5718
person
Provider Profile Details
NPI Number
1982661344
Provider Name
Jean F Botha
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5171 S Cottonwood St Ste 210, Murray, UT, 84107-5718
Phone Number
801-507-3380
Fax Number
385-297-2048
Provider Enumeration Date
04/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
47078557580 05 NE
institution
Provider Business Practice Location Address Details
Address
5171 S Cottonwood St Ste 210
City
State
Zip
84107-5718
Phone Number
801-507-3380
Fax Number
385-297-2048
person
Provider Business Mailing Address Details
Address
5171 S Cottonwood St Ste 210
City
State
Zip
84107-5718
Phone Number
801-507-3380
Fax Number
385-297-2048
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Transplant Surgery
Speciality
-
Taxonomy
License No.
22313 (Nebraska)
Definition
Definition to come.
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