Individual
DR. RICHARD RAWSON BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 S. SHIELDS STREET, BLDG G, FORT COLLINS, CO 80526
(970) 484-4871
(970) 482-4927
Mailing address
2001 S. SHIELDS STREET, BLDG G, FORT COLLINS, CO 80526
(970) 484-4871
(970) 482-4927
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19363
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04023743
—
CO
Enumeration date
10/04/2006
Last updated
07/08/2007
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