Individual
DR. J. LYLE BOOTMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1703 E MABEL ST, TUCSON, AZ 85721-0001
(520) 626-1657
(520) 626-4063
Mailing address
PO BOX 210207, TUCSON, AZ 85721-0207
(520) 626-1657
(520) 626-4063
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5872
AZ
Other
Enumeration date
07/01/2005
Last updated
07/08/2007
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