Individual
DR. SCOTT LEE BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 SOTOYOME ST, SANTA ROSA, CA 95405-4823
(707) 546-4062
(707) 525-4097
Mailing address
121 SOTOYOME ST, SANTA ROSA, CA 95405-4823
(707) 546-4062
(707) 525-4097
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G59035
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G590350
—
CA
Enumeration date
06/01/2006
Last updated
10/26/2012
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