Individual
DUSTIN LEE BOOTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 15TH ST STE A, GREELEY, CO 80631
(970) 820-5941
Mailing address
2005 MEANDER RD, WINDSOR, CO 80550-4628
(425) 773-5011
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
DR.0060291
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2013
Last updated
07/14/2018
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