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Bryan Booth
NPI 1659321685 · on the registry since 2006 · sole proprietor
Practice
- Address
- 456 Marsh Duck Way
Virginia Beach, VA 23451 - Phone
- (757) 846-8575
Registry record
- Primary taxonomy
- 247200000X
247200000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-03-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia