Candice Beth Booth M.D.

NPI 1851418883 - Emergency Medicine - 207P00000X

NPI Details
NPI 1851418883
Gender Female
Enumeration Date 03/23/2007
Last Updated 08/02/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
660 S EUCLID AVE
CAMPUS BOX 8072
SAINT LOUIS MO, 63110-1010, US
Phone (314) 758-6787
Fax
Business Location
660 S EUCLID AVE
CAMPUS BOX 8072
SAINT LOUIS MO, 63110-1010, US
Phone (314) 758-6787
Fax
Toxanomy
Taxonomy Code 207P00000X
License State Missouri
License Number 2004014305
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According to our database, Dr. Candice Beth Booth M.D. NPI is 1851418883, taxonomy code is 207P00000X and license number is 2004014305, license state is located at Missouri. Candice Beth Booth M.D. physically located at 660 S Euclid Ave, Saint Louis MO, 63110-1010. NPI Number Candice Beth Booth M.D. has the Individual type.

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1851418883 NPI number is provided on an as is basis without warranty of any kind. 1851418883 is maintained by the National Plan & Provider Enumeration System. The contents of Candice Beth Booth M.D. are for informational purposes only.