Individual
DR. BRANYAN ANN BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4100 W 3RD ST # 112, DAYTON, OH 45428-9000
(937) 262-2150
Mailing address
445 CUSHING AVE, KETTERING, OH 45429-2609
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
AM2789482-M06-005
OH
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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