NPI 1235183054

Glenn C Bothwell, MD

Practitioner Occupational Medicine Physician Boise, ID

Practice location

Address: 703 S Americana Blvd, Boise, ID 83702-5099
Phone: (208) 706-7500
Mailing address: 190 E Bannock St, Boise, ID 83712-6241

Registered specialties

Occupational Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence M3165 (ID)

Other Preventive Medicine providers in Idaho →

Registry record

NPI: 1235183054
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 May 2006
Record last updated: 16 Feb 2011

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.