person
Mr. Roger Mark Booth JR., NP-C
Gerontology Nurse Practitioner in Huntington, West Virginia
NPI 1275150047

Roger Mark Booth JR. is a Gerontology Nurse Practitioner based in Huntington, WV and is specialized in Gerontology. Roger Mark Booth JR. practices in Huntington, WV and has the professional credentials of NP-C. The NPI Number for Roger Mark Booth JR. is 1275150047 and holds a License No. 105246 (West Virginia).

The current practice location address for Roger Mark Booth JR. is 1540 Spring Valley Dr, Huntington, WV and can be reached out via phone at 304-654-4035. You can also correspond with Roger Mark Booth JR. through the mailing address at 1540 SPRING VALLEY DR, HUNTINGTON, WV - 25704-9501 (mailing address contact number: 304-654-4035).

Location: 1540 Spring Valley Dr, Huntington, WV, 25704-9501
person
Provider Profile Details
NPI Number
1275150047
Provider Name
Roger Mark Booth JR.
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
1540 Spring Valley Dr, Huntington, WV, 25704-9501
Phone Number
304-654-4035
Fax Number
Provider Enumeration Date
06/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1540 Spring Valley Dr
City
State
Zip
25704-9501
Phone Number
304-654-4035
Fax Number
person
Provider Business Mailing Address Details
Address
1540 Spring Valley Dr
City
State
Zip
25704-9501
Phone Number
304-654-4035
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
105246 (West Virginia)
Definition
Definition to come...
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