Whalio Doctors

NPI 1427110022

Dwayne Andrew Booth, DPM

Practitioner Podiatrist Riverton, WY

Practice location

Address
238 Railway Plaza, Riverton, WY 82501
Phone
(307) 856-3610
Fax
(307) 856-5044

Registered specialties

Podiatrist Primary
Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 108 (WY)

Registry record

NPI
1427110022
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Dec 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.