Clayburn C. Booth, M.d., P.c.

NPI 1144668377 - Family Medicine - 207Q00000X

NPI Details
NPI 1144668377
Enumeration Date 06/10/2013
Last Updated 06/10/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name CLAYBURN C. CLAYBURN
Position PRESIDENT
Phone (716) 297-4800
Fax
Practice Location
5300 MILITARY RD
LEWISTON NY, 14092-1903, US
Phone (716) 297-4800
Fax
Business Location
2861 W LAKE RD
P.O. BOX 856
WILSON NY, 14172-9626, US
Phone (716) 751-6179
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State New York
License Number 091157
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According to our database, Clayburn C. Booth, M.d., P.c. NPI is 1144668377, taxonomy code is 207Q00000X and license number is 091157, license state is located at New York. Clayburn C. Booth, M.d., P.c. physically located at 5300 Military Rd, Lewiston NY, 14092-1903. NPI Number 1033115704 has the healthcare provider type.

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1144668377 NPI number is provided on an as is basis without warranty of any kind. 1144668377 is maintained by the National Plan & Provider Enumeration System. The contents of Clayburn C. Booth, M.d., P.c. are for informational purposes only.