Individual
RICHARD A. BOOTHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 E LEIGH ST, RICHMOND, VA 23298-5004
(804) 828-9080
(804) 828-3891
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0125
(804) 922-4844
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
0101272965
VA
207VX0201X
Gynecologic Oncology Physician
042-0014870
VT
207VX0201X
Gynecologic Oncology Physician
ME0038681
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376537700
—
FL
Enumeration date
06/16/2005
Last updated
04/04/2024
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