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NPI Profile for MITCHELL B BOOTH in MEDFORD, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI # | 1659020949 |
|
| Status | Active | |
| Credentials | DPM (Doctor of Podiatric Medicine) | |
| Entity | Individual | |
| Enumeration date | 03/22/2022 | |
| Last updated | 06/02/2025 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MITCHELL B BOOTH
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MITCHELL B BOOTH, DPM