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

MITCHELL BRYAN BOOTH, DPM

Active

MITCHELL BRYAN BOOTH, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in MEDFORD, Oregon. NPI 1659020949 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · MEDFORD, OR

Registration Details

NPI Number
1659020949
Provider Type
Individual
Gender
Male
NPI Issued
Mar 22, 2022 (4.3590006368255 yrs)
Last Updated
Jun 2, 2025
License
DP224114 (OR)

Practice Information

Address
1904 E BARNETT RD
MEDFORD, OR, 975048262
Browse OR providers · Browse ZIP 97504
Phone
5417763338
Fax
5417764979
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X

Other Foot & Ankle Surgery Podiatrist Providers in MEDFORD, OR

Name Credential NPI
WILLIAM DAVID GOFORTH DPM 1366768699
DEVIN DIMOND DPM 1134521750
RYAN ARTHUR MAYBERRY DPM 1952969347
JOSHUA BRACKEN MILLWARD DPM 1750901856
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.