Edgar Booth, MD is a
Radiology - Diagnostic Radiology physician based in West Valley City, Utah. Edgar Booth is licensed to practice in Utah (license number 1789851205) and his current practice location is 3725 W 4100 S, Ste 102, West Valley City, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 652-4466.
NPI number for Edgar Booth is 1710985726 and his current mailing address is Po Box 1169, Bountiful, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710985726.
Physician's Profile
Full Name | Edgar Booth |
---|
Gender | Male |
---|
Speciality | Radiology - Diagnostic Radiology |
---|
Location | 3725 W 4100 S, West Valley City, Utah |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710985726
- Provider Enumeration Date: 07/13/2005
- Last Update Date: 03/06/2019
Medical Identifiers
Medical identifiers for Edgar Booth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710985726 | NPI | - | NPPES |
D0432 | Medicaid | UT | |
805426200 | Medicaid | ID | |
114168600 | Medicaid | WY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 1789851205 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edgar Booth is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Edgar Booth, MD Po Box 1169, Bountiful, UT 84011-1169 Ph: (801) 296-2113 | Edgar Booth, MD 3725 W 4100 S, Ste 102, West Valley City, UT 84120-5417 Ph: (801) 652-4466 |
Reviews and Comments