Individual
DR. MICHELLE TARA ROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304
(650) 497-8000
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
2021-02831
NC
2080P0206X
Pediatric Gastroenterology Physician
A101371
CA
2080P0206X
Pediatric Gastroenterology Physician
MD439727
PA
2080P0206X
Pediatric Gastroenterology Physician
ME117396
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009617500
—
FL
05
—
110920300
—
FL
01
—
14SE8
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/05/2009
Last updated
12/21/2021
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