Individual
DR. DAVID GEORGE BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
60 S 2ND W, REXBURG, ID 83440-1819
(208) 359-2264
(208) 359-0650
Mailing address
645 S WOODRUFF AVE, IDAHO FALLS, ID 83401-5596
(208) 552-9886
(208) 552-9843
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA804
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805108000
—
ID
01
—
C8042
BLUE CROSS NUMBER
ID
Enumeration date
03/13/2007
Last updated
01/21/2020
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