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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRYAN DENNIS BOOTH, PA-C

Active

BRYAN DENNIS BOOTH, PA-C is a Medical Physician Assistant healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1548235179 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · PHILADELPHIA, PA

Registration Details

NPI Number
1548235179
Provider Type
Individual
Gender
Male
NPI Issued
Feb 17, 2006 (20.45944902116 yrs)
Last Updated
Jun 12, 2015
License
MA001415L (PA)

Practice Information

Address
3400 SPRUCE ST
6 SILVER
PHILADELPHIA, PA, 191044238
Browse PA providers · Browse ZIP 19104
Phone
2156154949
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in PHILADELPHIA, PA

Name Credential NPI
MR. JOSEPH D. NORRIS PA-C 1346247905
ROBERT W ROTHROCK PA-C 1508866377
MS. RITA A FOUST PA-C 1114906757
MR. GIUSEPPE ANTONIO SCRENCI MS, PA-C 1427020643
MR. PAUL HOWELL ROLSTON M.M.SC., P.A.-C 1710953203
DANIELLE MARIE GRAZIANI-LUDWIG P.A. 1609828532
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.