Jack Branyon Booth, MD | |
930 Bethesda Dr. Bldg 4, Zanesville, OH 43701-0815 | |
(740) 455-6202 | |
Not Available |
Full Name | Jack Branyon Booth |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 930 Bethesda Dr. Bldg 4, Zanesville, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982765152 | NPI | - | NPPES |
0274206 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 35-036061 (Ohio) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jack Branyon Booth, MD 930 Bethesda Dr. Bldg 4, Zanesville, OH 43701-0815 Ph: (740) 455-6202 | Jack Branyon Booth, MD 930 Bethesda Dr. Bldg 4, Zanesville, OH 43701-0815 Ph: (740) 455-6202 |
Eric Bruce Antonucci, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2945 Maple Ave, Zanesville, OH 43701 Phone: 740-454-0158 | |
Thomas Rojewski, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2945 Maple Ave, Zanesville, OH 43701 Phone: 740-454-0158 Fax: 740-454-6321 |