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DR. JEROME DAVIS BOOKER M.D.

>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1447472857

Individual Registrant:
DR. JEROME DAVIS BOOKER M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
10 WOODLAND RD  SAINT HELENA, CA 94574-9554 US
Tel: 707-963-6505  Fax: --

Contact information for business:
1144 CHURCH ST  SAINT HELENA, CA 94574-1205 US
Tel: 408-887-4078  Fax: --

Registration Information:
NPI: 1447472857
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N208000000XAllopathic & Osteopathic Physicians
Pediatrics
CAA99445
Y208000000XAllopathic & Osteopathic Physicians
Pediatrics
NY287651-1

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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