CYNTHIA D. BOOTH, MD PLLC
Medical Practice at Main St, Payson, AZ

License number
Arizona 27365
Category
Medical Practice
Type
Specialist
Owner
Name: DR. CYNTHIA D. BOOTH MD
Title: OWNER
Phone: (928) 474-9744
Address
Address
120 E Main St SUITE A, Payson, AZ 85541
National Provider ID: 1437320272
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CYNTHIA D. BOOTH, M.D., P.L.L.C

120 E Main St STE A, Payson, AZ 85541

Registration:
Jan 25, 2002
State ID:
P-1016685-9
Expiration:
Perpetual
Members:
Cynthia D Booth (Manager), 2001 E Granite Dells Rd, Payson, AZ 85541 (Physical),Booth Family Trust (Member), 2001 E Granite Dells Rd, Payson, AZ 85541 (Physical)
Agent:
Benedict And Martin Pllc,3333 E Camelback Rd #175, Phoenix, AZ 85018 (Physical)

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