Bianca Bottiaux, PA
Physician Assistant in Carbondale, IL. Individual provider (NPI-1).
NPI number1679639561
StatusActive
Last updated in NPPESSep 2, 2011
Details
- NPI
- 1679639561
- Entity type
- Individual (NPI-1)
- Name
- Ms. Bianca Bottiaux
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 28, 2006
- Last updated
- Sep 2, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 085-000730 | IL | Yes |
Practice location
2601 W Main StCarbondale, IL 62901-1031
Phone 618-549-5361 · Fax 618-549-5128
Mailing address
Po Box 1105Indianapolis, IN 46206-1105
Phone 618-549-5361 · Fax 618-549-5128
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All 68 Physician Assistant providers in Carbondale · All 1,335 providers in Carbondale
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