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Individual

BRANDON LEE BOOTHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
7645 E EVANS RD STE 140, SCOTTSDALE, AZ 85260-3492
(408) 598-6219
Mailing address
7645 E EVANS RD STE 140, SCOTTSDALE, AZ 85260-3492
(408) 598-6219

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
32126
CA

Other

Enumeration date
11/29/2012
Last updated
11/15/2013
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