Booth, Dwayne Andrew

Booth, Dwayne Andrew is an individual health care provider with primary practice located at 238 Railway Plaza , Riverton WY 82501. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Booth, Dwayne Andrew can be contacted via phone (307) 856-3610.

Contact Information

Primary practice address
238 Railway Plaza Riverton WY 82501
Phone: (307) 856-3610
Fax: (307) 856-5044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 108 Wyoming

Profile Details

NPI number 1427110022
LBN Legal business name Booth, Dwayne Andrew
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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