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Individual

ROBERT CROOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2339 MCCALLIE AVE, PLAZA II, SUITE 407, CHATTANOOGA, TN 37404-3256
(423) 698-8701
(423) 698-0720
Mailing address
2339 MCCALLIE AVE, PLAZA II, SUITE 407, CHATTANOOGA, TN 37404-3256
(423) 698-8701
(423) 698-0720

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
DO814
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3129796
BLUE SHIELD
TN
05
3838799
TN
Enumeration date
02/27/2007
Last updated
07/08/2007
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