Individual
DR. KERI LEIGH BURNS BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 CEDAR ST SE, SUITE 306, ALBUQUERQUE, NM 87106
(505) 563-1010
(505) 563-1000
Mailing address
5800 MARIOLA PL NE, ALBUQUERQUE, NM 87111-2362
(704) 384-7840
(704) 384-7830
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
CS00218452
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201013020
—
IN
Enumeration date
05/22/2008
Last updated
03/14/2013
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