James Booth MD

NPI 1629297114 - Pathology - 207ZP0105X

NPI Details
NPI 1629297114
Gender Male
Enumeration Date 04/24/2007
Last Updated 06/11/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
1111 CRATER LAKE AVE
MEDFORD OR, 97504-6241, US
Phone (503) 453-0475
Fax
Business Location
4400 NE HALSEY ST
PORTLAND OR, 97213-1545, US
Phone (503) 453-0475
Fax (503) 215-0297
Toxanomy
Taxonomy Code 207ZP0105X
License State Oregon
License Number MD09301
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According to our database, Dr. James Booth MD NPI is 1629297114, taxonomy code is 207ZP0105X and license number is MD09301, license state is located at Oregon. James Booth MD physically located at 1111 Crater Lake Ave, Medford OR, 97504-6241. NPI Number James Booth MD has the Individual type.

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1629297114 NPI number is provided on an as is basis without warranty of any kind. 1629297114 is maintained by the National Plan & Provider Enumeration System. The contents of James Booth MD are for informational purposes only.