STEPHEN J BOOTH

LOUISVILLE, KY
NPI1174551311
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KY  2032A)
Enumeration Date2006-06-28
Last Update Date2007-10-17
Business Address
-- STEPHEN J BOOTH CRNA
332 W BROADWAY
LOUISVILLE, KY 40202-2130
Phone number: 502-583-0909
Mailing Address
-- STEPHEN J BOOTH CRNA
332 W BROADWAY
LOUISVILLE, KY 40202-2133
Phone number: 502-583-0909
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