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Individual

MICHAEL P BOOKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
10956 DONNER PASS RD STE 110, TRUCKEE, CA 96161-4860
(530) 587-6011
Mailing address
PO BOX 3370, OLYMPIC VALLEY, CA 96146-3370

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
61770
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/30/2021
Last updated
11/29/2022
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