Albert Crook, Do | |
1103 W. Ironwood Drive Suite A Coeur D' Alene ID 83814-2604 | |
(208) 667-9400 | |
(208) 667-2119 |
Full Name | Albert Crook, Do |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1103 W. Ironwood Drive, Coeur D' Alene, Idaho |
Authorized Official Name and Position | Albert Allen Crook (OWNER) |
Authorized Official Contact | 2086679400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Albert Crook, Do 1103 W. Ironwood Drive Suite A Coeur D' Alene ID 83814-2604 Ph: (208) 667-9400 | Albert Crook, Do 1103 W. Ironwood Drive Suite A Coeur D' Alene ID 83814-2604 Ph: (208) 667-9400 |
NPI Number | 1801816632 |
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Provider Enumeration Date | 07/21/2006 |
Last Update Date | 03/18/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801816632 | NPI | - | NPPES |
S5452 | Other | ID | BLUE CROSS OF IDAHO |
000010138014 | Other | ID | REGENCE BLUESHIELD OF ID |
806409200 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 0-134 (Idaho) | Primary |