Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CAROLYN M. BOOTH, PA
ActiveCAROLYN M. BOOTH, PA is a Physician Assistant healthcare provider located in EAST SAINT LOUIS, Illinois. NPI 1033275631 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · EAST SAINT LOUIS, IL
Registration Details
- NPI Number
- 1033275631
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 28, 2006 (19.446495509681 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
6000 BOND AVEEAST SAINT LOUIS, IL, 622072328Browse IL providers · Browse ZIP 62207
- Phone
- 6183322740
- Fax
- 6183328755
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.