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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARK BOETTGER, MD

Active

DR. MARK BOETTGER, MD is a Emergency Medicine healthcare provider located in PORTOLA, California. NPI 1811994569 is currently active in the NPPES registry. Verify at CMS.

Emergency Medicine · PORTOLA, CA

Registration Details

NPI Number
1811994569
Provider Type
Individual
Gender
Male
NPI Issued
Jul 7, 2005 (21.097011340464 yrs)
Last Updated
Nov 5, 2021
License
G39579 (CA)

Practice Information

Address
500 1ST AVE
PORTOLA, CA, 961229406
Browse CA providers · Browse ZIP 96122
Phone
5308326500
Primary Specialty
Emergency Medicine
207P00000X

Other Emergency Medicine Providers in PORTOLA, CA

Name Credential NPI
CHARLES KAPLOVE 1114925898
KENNETH ROBINSON 1437157914
DR. JEFFREY DAVIS M.D. 1285632729
PAUL SWANSON 1316945249
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.