Individual
SAMUEL A BOOTH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
650 ADDISON AVE W, TWIN FALLS, ID 83301-5444
(208) 732-3429
(208) 732-3220
Mailing address
PO BOX 409, TWIN FALLS, ID 83303-0409
(208) 732-3429
(208) 732-3220
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M-9463
ID
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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