Individual
NATALIE GAIL BOOTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2000 W BETHANY HOME RD, PHOENIX, AZ 85015-2443
(602) 249-0212
Mailing address
2000 W BETHANY HOME RD, PHOENIX, AZ 85015-2443
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
55908
CA
363A00000X
Physician Assistant
Primary
7156
AZ
363AS0400X
Surgical Physician Assistant
PA22908
CA
Other
Enumeration date
08/30/2018
Last updated
01/05/2023
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