Individual
DR. CYNTHIA D BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
120 E MAIN ST, PAYSON, AZ 85541-5618
(928) 474-9744
(928) 474-9766
Mailing address
120 E MAIN ST, PAYSON, AZ 85541-5618
(928) 474-9744
(928) 474-9766
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AZ27365
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
483529-02
—
AZ
Enumeration date
08/02/2005
Last updated
08/07/2014
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