Organization
BOOTH DERMATOLOGY GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALLY A BOOTH MD (PRESIDENT)
(317) 848-2427
Entity
Organization
Contact information
Practice address
12050 N MICHIGAN RD, ZIONSVILLE, IN 46077-8782
(317) 848-2427
(317) 848-2434
Mailing address
12050 N MICHIGAN RD, ZIONSVILLE, IN 46077-8782
(317) 848-2427
(317) 848-2434
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
IN
Other
Enumeration date
01/23/2006
Last updated
06/15/2020
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