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Edgar Booth, MD
Diagnostic Radiology Physician in West Valley City, Utah
NPI 1710985726

Edgar Booth is a Diagnostic Radiology Physician based in Bountiful, UT and is specialized in Diagnostic Radiology. Edgar Booth practices in West Valley City, UT and has the professional credentials of MD. The NPI Number for Edgar Booth is 1710985726 and holds a License No. 1789851205 (Utah).

The current practice location address for Edgar Booth is 3725 W 4100 S, West Valley City, UT and can be reached out via phone at 801-652-4466. You can also correspond with Edgar Booth through the mailing address at PO BOX 1169, BOUNTIFUL, UT - 84011-1169 (mailing address contact number: 801-296-2113).

Location: 3725 W 4100 S, West Valley City, UT, 84011-1169
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Provider Profile Details
NPI Number
1710985726
Provider Name
Edgar Booth
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3725 W 4100 S, West Valley City, UT, 84011-1169
Phone Number
801-652-4466
Fax Number
Provider Enumeration Date
07/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D0432 05 UT
805426200 05 ID
114168600 05 WY
institution
Provider Business Practice Location Address Details
Address
3725 W 4100 S
City
State
Zip
84120-5417
Phone Number
801-652-4466
Fax Number
person
Provider Business Mailing Address Details
Address
3725 W 4100 S
City
State
Zip
84120-5417
Phone Number
801-652-4466
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
1789851205 (Utah)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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