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Mark Botham MD NPI 1003879024

Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Type
License No.
35060700B
License State
OH
Certified
Location

Additional Identifiers

Medical School
JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Graduation Year
1979
Identifier
Type
State
Identifier: 0975468
Type: MEDICAID (05)
State: OH
Identifier: B45631
Type: MEDICARE UPIN (02)
State: OH
Identifier: BO7345361
Type: MEDICARE PIN (08)
State: OH

Hospital & Clinics

Business Name
Company Size
Revenue
Business Address
9500 EUCLID AVE, CLEVELAND, OH, 441950001
Business Phone
800-223-2273
Mailing Address
6000 W CREEK RD, INDEPENDENCE, OH, 441312139
Mailing Phone
800-223-2273
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