Individual provider · Type 1 NPI

Michael P. Booker

Medical Physician Assistant · Truckee, CA

NPI number 1659044022 Active

Practice location

10956 Donner Pass Rd Ste 110
Truckee, CA 96161-4860

Call (530) 587-6011 Map

Mailing address

PO Box 3370
Olympic Valley, CA 96146-3370

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant Primary 363AM0700X61770 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1659044022

Michael P. Booker's National Provider Identifier is 1659044022, issued on Jul 30, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Truckee, CA. The record was last updated on Nov 29, 2022.