Individual
DR. ALEXANDRIA V BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19 SOUTHPOINT LN, WALLA WALLA, WA 99362-4175
(509) 525-3720
(509) 522-1593
Mailing address
55 W TIETAN ST, WALLA WALLA, WA 99362-4445
(509) 525-3720
(509) 522-1593
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
244151
NY
207N00000X
Dermatology Physician
Primary
A106124
CA
Other
Enumeration date
05/17/2007
Last updated
06/15/2020
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