PETER BOOTHMAN M.D.
Individual Provider (NPI-1)
Active
Dermatology, MOHS-Micrographic Surgery
Provider Information
- NPI Number
1588018170- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 1618 S MILLENIUM WAY STE 100, MERIDIAN, ID, 836426457
- Phone
- (208) 884-3376
- Fax
- (208) 884-0858
Specialties & Taxonomies
Dermatology, MOHS-Micrographic Surgery
Primary License: ID #M-17515
Dermatology, MOHS-Micrographic Surgery
License: AL #MD.36224