Dr. Scott Lee Booth, M.D.
Radiology, Diagnostic Radiology in Santa Rosa, CA. Individual provider (NPI-1).
NPI number1841237666
StatusActive
Last updated in NPPESOct 26, 2012
Details
- NPI
- 1841237666
- Entity type
- Individual (NPI-1)
- Name
- Dr. Scott Lee Booth
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2006
- Last updated
- Oct 26, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | G59035 | CA | Yes |
Practice location
121 Sotoyome StSanta Rosa, CA 95405-4823
Phone 707-546-4062 · Fax 707-525-4097
Mailing address
121 Sotoyome StSanta Rosa, CA 95405-4823
Phone 707-546-4062 · Fax 707-525-4097
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