EDGAR BOOTH

WEST VALLEY CITY, UT
NPI1710985726
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: UT  1789851205)
Enumeration Date2005-07-13
Last Update Date2019-03-06
Business Address
EDGAR BOOTH MD
3725 W 4100 S STE 102
WEST VALLEY CITY, UT 84120-5417
Phone number: 801-652-4466
Mailing Address
EDGAR BOOTH MD
PO BOX 1169
BOUNTIFUL, UT 84011-1169
Phone number: 801-296-2113
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