Booth, Gregory Richard

Booth, Gregory Richard is an individual health care provider with primary practice located at 621 S New Ballas Rd Ste 2016B , Saint Louis MO 63141-8265. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Booth, Gregory Richard can be contacted via phone (143) 251-5860.

Contact Information

Primary practice address
621 S New Ballas Rd Ste 2016B Saint Louis MO 63141-8265
Phone: (143) 251-5860
Fax: (314) 251-5861
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2002001984 Missouri
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 2002001984 Missouri

Profile Details

NPI number 1801007018
LBN Legal business name Booth, Gregory Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2007
Last updated Feb 13th, 2020 - about 4 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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