Individual
MR. JOSHUA BOOTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6200
Mailing address
6160 FOX GLEN DR, APT 190, SAGINAW, MI 48638-4307
(507) 269-6020
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704220624
MI
Other
Enumeration date
12/08/2014
Last updated
02/03/2017
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