Whalio Doctors

NPI 1164518783

Richard Rawson Booth, MD

Practitioner Pediatrics Physician Fort Collins, CO

Practice location

Address
2001 S. Shields Street, Bldg G, Fort Collins, CO 80526
Phone
(970) 484-4871
Fax
(970) 482-4927

Registered specialties

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 19363 (CO)

Registry record

NPI
1164518783
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Oct 2006
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.