Individual
DWAYNE ANDREW BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
238 RAILWAY PLAZA, RIVERTON, WY 82501
(307) 856-3610
(307) 856-5044
Mailing address
238 RAILWAY PLAZA, RIVERTON, WY 82501
(307) 856-3610
(307) 856-5044
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
108
WY
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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