# CORENTHIAN JEROME BOOKER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1740402007
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | 036167692 | IL | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | 2009-00624 | NC | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | 2012-01926 | NC | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | 2023030719 | MO | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | 58569 | AZ | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 04/20/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 552544 | — | AZ |