Individual provider · NPI-1

Richard C. Booth, LLP

Perfusionist · Oklahoma City, OK

NPI number1992096986
StatusActive
Last updated in NPPESApr 25, 2011

Details

NPI
1992096986
Entity type
Individual (NPI-1)
Name
Richard C. Booth
Credential
LLP
Sex
Male
Sole proprietor
No
Enumeration date
Apr 25, 2011
Last updated
Apr 25, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
242T00000X Perfusionist57OKYes

Practice location

3601 N May Ave
Suite C
Oklahoma City, OK 73112-6641

Phone 405-604-5613 · Fax 405-601-3750

Mailing address

Po Box 12815
Oklahoma City, OK 73157-2815

Phone 405-604-5613 · Fax 405-601-3750

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