Individual provider · Type 1 NPI

Marlise Gnutzmann Botelho, PA

Medical Physician Assistant · Dayton, OH

NPI number 1285801647 Active

Practice location

33 W Rahn Rd
Dayton, OH 45429-2219

Fax (937) 433-8691

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X2764 (OH)

Medical Physician Assistant: Definition to come...

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About NPI 1285801647

Marlise Gnutzmann Botelho, PA's National Provider Identifier is 1285801647, issued on May 14, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Dayton, OH. The record was last updated on Jul 21, 2022.