Individual
DR. CANDICE BETH BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3015 N BALLAS RD, DEPT EMERGENCY MED, SAINT LOUIS, MO 63131-2329
(314) 966-5000
(314) 747-3338
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 966-5000
(314) 747-3338
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2008006040
MO
208D00000X
General Practice Physician
2008006040
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200017306
—
MO
Enumeration date
03/23/2007
Last updated
04/15/2025
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