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Adam Keith Boettcher

Surgeon Plastic and Reconstructive Surgery

1020 N San Francisco St Ste 200
Flagstaff , Arizona 86001-3281

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Adam Keith Boettcher

Surgeon Plastic and Reconstructive Surgery

1020 N San Francisco St Ste 200
Flagstaff , Arizona 86001-3281

(928) 774-2300

Write a Review Save Call

Adam Keith Boettcher

Surgeon Plastic and Reconstructive Surgery

1020 N San Francisco St Ste 200
Flagstaff , Arizona 86001-3281

(928) 774-2300 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Surgeon
  • Plastic and Reconstructive Surgery

Languages spoken

  • English

Location

1020 N San Francisco St Ste 200 Flagstaff , Arizona 86001-3281

First Address

  • Adam Keith Boettcher
  • 1020 N San Francisco St Ste 200
  • Flagstaff, AZ
  • Zip : 86001-3281
  • Phone : (928) 774-2300

Second Address

  • Adam Keith Boettcher
  • 1020 N San Francisco St Ste 200
  • Flagstaff, AZ
  • Zip : 86001-3281
  • Phone : (928) 774-2300

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FAQs


Where did Adam Keith Boettcher attend graduate school?

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Where did Adam Keith Boettcher do his residency?

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Where did Adam Keith Boettcher do his fellowship?

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Is Adam Keith Boettcher board certified?

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What type of doctor is Adam Keith Boettcher

Surgeon

In what state does Adam Keith Boettcher practice in?

Arizona

Where is Adam Keith Boettcher ’s practice located?

1020 N San Francisco St Ste 200 , Flagstaff, Arizona, 86001-3281

What is Adam Keith Boettcher ’s gender?

Male

Is Adam Keith Boettcher a sole practitioner?

No

Is Adam Keith Boettcher accepting new patients?

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What languages does Adam Keith Boettcher speak?

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Does Adam Keith Boettcher accept insurance?

Yes, Adam Keith Boettcher accepts insurance

Does Adam Keith Boettcher offers telemedicine?

Adam Keith Boettcher has not indicated if he offers telemedicine

What is Adam Keith Boettcher ’s professional license number?

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What is Adam Keith Boettcher ’s NPI number?

1134325012

Does Adam Keith Boettcher have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 208200000X Surgeon 4301090356 MI
Y 208600000X Surgeon 4301090356 MI
N 2086S0122X Plastic and Reconstructive Surgery 45896 AZ

National Provider Identifier

NPI 1134325012
Provider Name Adam Keith Boettcher
First Address Flagstaff, AZ 86001-3281
Second Address Flagstaff, AZ 86001-3281
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 26/06/2007
Last Update Date 29/01/2020

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
P707631 (05) AZ

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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