Individual
MR. ROGER MARK BOOTH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
1540 SPRING VALLEY DR, HUNTINGTON, WV 25704-9501
(304) 429-6741
(215) 842-4233
Mailing address
1540 SPRING VALLEY DR, HUNTINGTON, WV 25704-9501
(304) 429-6741
(215) 842-4233
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
105246
WV
Other
Enumeration date
06/28/2020
Last updated
11/17/2025
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