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Contact Information

LARRY D CROOK, MD
US HWY 491 NORTH
SHIPROCK, NM87420
 Phone: 505-368-6001
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LARRY D CROOK · (Male)

NPI Number 1467429118
Status Active
Credentials MD
Entity Individual
Enumeration date 03/01/2006
Last updated 05/20/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # MD09270
  • AZ Medicaid 415598
  • CO Medicaid 10334823
  • NM Medicaid S0411
  • OR Medicaid 277903
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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