Individual
VIRGINIA A. BOOTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5855 BREMO RD STE 403, RICHMOND, VA 23226-1924
(804) 288-2673
(804) 285-5572
Mailing address
PO BOX 639969, CINCINNATI, OH 45263-9969
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101056137
VA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
0101056137
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06778
GROUP PTAN
VA
Enumeration date
11/07/2006
Last updated
01/03/2024
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