Edgar Booth in West Valley City - Diagnostic Radiology
Edgar Booth - NPI 1710985726
Edgar Booth is a Diagnostic Radiology in West Valley City, Utah. Edgar Booth practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Edgar Booth is 1710985726. The last update date is 2019-03-06.
Edgar Booth's current location address is 3725 W 4100 S, West Valley City, Utah. You can contact this provider via phone number 8016524466. The mailing address for Edgar Booth is 3725 W 4100 S, West Valley City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edgar Booth |
|---|---|
| Address | 3725 W 4100 S, West Valley City, Utah |
| Phone Number | 8016524466 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1710985726 |
|---|---|
| Provider Enumeration Date | 2005-07-13 |
| Last Updated Date | 2019-03-06 |
Provider Mailing Address Detail
| Address | 3725 W 4100 S |
|---|---|
| City | West Valley City |
| State | Utah (UT) |
| Post Code | 8412054170 |
| Phone Number | 8016524466 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 1789851205 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D0432 | UT | -- | |
| 805426200 | ID | -- | |
| 114168600 | WY | -- |
Post Comment/ Review Below
What is the Edgar Booth's unique identification number?
The Edgar Booth has been assigned the NPI (National Provider Identifier) Number 1710985726 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Edgar Booth is physically located?
The Edgar Booth is physically situated at the following address: 3725 W 4100 S, West Valley City, UT, 8412054170.
What is Edgar Booth's area of expertise and its corresponding taxonomy classification?
The Edgar Booth's field of specialization is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their areas of practice.
On what date did the Edgar Booth receive its 1710985726 assignment from the Centers for Medicare & Medicaid Services?
The Edgar Booth was assigned its 1710985726 by the Centers for Medicare & Medicaid Services on 2005-07-13.
As of what date were the details pertaining to Edgar Booth last refreshed?
The information related to the Edgar Booth, including its address, specialty, and other relevant details, was last updated on 2019-03-06.
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