NPI 1043340912

Thomas H. Booth, CRNA

Practitioner Certified Registered Nurse Anesthetist Montgomery, AL

Practice location

Address: 2105 E South Blvd, Montgomery, AL 36116-2409
Phone: (334) 386-3579
Mailing address: PO Box 235022, Montgomery, AL 36123-5022

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 1-077443 (AL)

Other Nurse Anesthetist, Certified Registered providers in Alabama →

Registry record

NPI: 1043340912
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.