Dr JESSICA LEIGH BOOTH is a female medical professional, specializing in Anesthesiology. She graduated in 2007 from University Of Virginia School Of Medicine.
POUDRE VALLEY MEDICAL GROUP LLC
1400 E BOULDER ST
SUITE 2508
COLORADO SPRINGS
CO
809095533
Tel: 7193656999
| Npi | 1710168398 |
| Pac Id | 2264619766 |
| Professional Enrollment Id | I20180611001215 |
| Last Name | BOOTH |
| First Name | JESSICA |
| Middle Name | LEIGH |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | ANESTHESIOLOGY |
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| Organization Legal Name | POUDRE VALLEY MEDICAL GROUP LLC |
| Group Practice Pac Id | 9638208549 |
| Number Of Group Practice Members | 1002 |
| Line 1 Street Address | 1400 E BOULDER ST |
| Line 2 Street Address | SUITE 2508 |
| Marker Of Address Line 2 Suppression | |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 809095533 |
| Phone Number | 7193656999 |
| Hospital Affiliation Ccn 1 | 060022 |
| Hospital Affiliation Lbn 1 | UCH-MEMORIAL HEALTH SYSTEM |
| Hospital Affiliation Ccn 2 | 060130 |
| Hospital Affiliation Lbn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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