Individual provider · NPI-1

Richard A. Boothby, MD

Obstetrics & Gynecology, Gynecologic Oncology · Richmond, VA

NPI number1376548354
StatusActive
Last updated in NPPESApr 4, 2024

Details

NPI
1376548354
Entity type
Individual (NPI-1)
Name
Richard A. Boothby
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 16, 2005
Certification date
Apr 4, 2024
Last updated
Apr 4, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VX0201X Obstetrics & Gynecology, Gynecologic Oncology0101272965VAYes
207VX0201X Obstetrics & Gynecology, Gynecologic OncologyME0038681FL
207VX0201X Obstetrics & Gynecology, Gynecologic Oncology042-0014870VT

Practice location

1001 E Leigh St
Richmond, VA 23298-5004

Phone 804-828-9080 · Fax 804-828-3891

Mailing address

Po Box 780125
Philadelphia, PA 19178-0125

Phone 804-922-4844

Other practice locations

1250 E Marshall St
Richmond, VA 23298-5023

Phone 804-828-9080 · Fax 804-828-3891

9105 Stony Point Dr
Richmond, VA 23235-1979

Phone 804-828-9080 · Fax 804-828-3891

3400 Haydenpark Ln
Henrico, VA 23233-7867

Phone 804-828-9080 · Fax 804-828-3891

11958 W Broad St
Henrico, VA 23233-1007

Phone 804-828-9080 · Fax 804-828-3891

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