Organization
CLAYBURN C. BOOTH, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAYBURN C. BOOTH M.D. (PRESIDENT)
(716) 751-6179
Entity
Organization
Contact information
Practice address
5300 MILITARY RD, LEWISTON, NY 14092-1903
(716) 297-4800
Mailing address
2861 W LAKE RD, P.O. BOX 856, WILSON, NY 14172-9626
(716) 751-6179
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
091157
NY
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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