NPI 1104157296

Lee Bottem, D.O., Plc

Organisation Ophthalmology Physician Broken Arrow, OK

Practice location

Address: 4700 W Urbana St, Broken Arrow, OK 74012-5997
Phone: (918) 290-2300
Fax: (918) 290-2310

Authorised official

Name: Lee T Bottem
Title: Physician
Phone: (918) 290-2300

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 4175 (OK)

Other Ophthalmology providers in Oklahoma →

Registry record

NPI: 1104157296
Entity type: Organization
NPI issued: 29 Jan 2010
Record last updated: 6 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.