Individual
MITCHELL BRYAN BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1904 E BARNETT RD, MEDFORD, OR 97504-8262
(541) 776-3338
(541) 776-4979
Mailing address
2307 W JOYLI CIR, WEST JORDAN, UT 84088-7652
(385) 228-6548
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP224114
OR
Other
Enumeration date
03/22/2022
Last updated
06/02/2025
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