Individual provider · Type 1 NPI

Stephanie Booth, DO

Student in an Organized Health Care Education/Training Program · Dayton, OH

NPI number 1891574208 Active

Practice location

30 E Apple St Ste 6258
Dayton, OH 45409-2939

Call (937) 208-8000 Map

Mailing address

185 S Orange Ave
Newark, NJ 07103-2757

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Student in an Organized Health Care Education/Training Program 390200000X58.035082 (OH)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1891574208

Stephanie Booth, DO's National Provider Identifier is 1891574208, issued on Sep 25, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dayton, OH. The record was last updated on Jun 17, 2026.