Dr JACK B BOOTH is a male medical professional, specializing in Otolaryngology. He graduated in 1973 from Ohio State University College Of Medicine.
SOUTHEASTERN OHIO OTOLARYNGOLOGY INC
930 BETHESDA DR
SUITE 4
ZANESVILLE
OH
437010815
Tel: 7404556202
| Npi | 1982765152 |
| Pac Id | 7618059759 |
| Professional Enrollment Id | I20080129000453 |
| Last Name | BOOTH |
| First Name | JACK |
| Middle Name | B |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | OTOLARYNGOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | SOUTHEASTERN OHIO OTOLARYNGOLOGY INC |
| Group Practice Pac Id | 3678702909 |
| Number Of Group Practice Members | 2 |
| Line 1 Street Address | 930 BETHESDA DR |
| Line 2 Street Address | SUITE 4 |
| Marker Of Address Line 2 Suppression | |
| City | ZANESVILLE |
| State | OH |
| Zip Code | 437010815 |
| Phone Number | 7404556202 |
| Hospital Affiliation Ccn 1 | 360039 |
| Hospital Affiliation Lbn 1 | GENESIS HOSPITAL |
| Hospital Affiliation Ccn 2 | 360203 |
| Hospital Affiliation Lbn 2 | SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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