Individual
THOMAS C BOOTH II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3942 DAVIS STUART RD STE 3, RONCEVERTE, WV 24970-0269
(304) 647-3987
(304) 647-3990
Mailing address
3942 DAVIS STUART RD STE 3, RONCEVERTE, WV 24970-0269
(304) 647-3987
(304) 647-3990
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT004290
WV
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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