| NPI | 1366597114 |
|---|---|
| Doing Business As | GENERAL BOOTH PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | DENNIS MICHAEL RYAN Senior VP CFO 757-668-8565 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2023-12-07 |