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Michael P Booker
Medical Physician Assistant in Truckee, California
NPI 1659044022

Michael P Booker is a Medical Physician Assistant based in Olympic Valley, CA and is specialized in Medical. Michael P Booker practices in Truckee, CA. The NPI Number for Michael P Booker is 1659044022 and holds a License No. (California).

The current practice location address for Michael P Booker is 10956 Donner Pass Rd Ste 110, Truckee, CA and can be reached out via phone at 530-587-6011.

Location: 10956 Donner Pass Rd Ste 110, Truckee, CA, 96146-3370
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659044022
Provider Name
Michael P Booker
Credential
Provider Entity Type
Individual
Gender
Male
Address
10956 Donner Pass Rd Ste 110, Truckee, CA, 96146-3370
Phone Number
530-587-6011
Fax Number
Provider Enumeration Date
07/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10956 Donner Pass Rd Ste 110
City
Truckee
State
California
Zip
96161-4860
Phone Number
530-587-6011
Fax Number
person
Provider Business Mailing Address Details
Address
10956 Donner Pass Rd Ste 110
City
Truckee
State
California
Zip
96161-4860
Phone Number
530-587-6011
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
61770 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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