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Individual

DR. PHILIP ALAN CROOKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
648 S WALKER ST, BLOOMINGTON, IN 47403-2158
(812) 331-1810
(812) 331-1714
Mailing address
648 S WALKER ST, BLOOMINGTON, IN 47403-2158
(812) 331-1810
(812) 331-1714

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1024945
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100184210
IN
Enumeration date
03/27/2006
Last updated
12/27/2011
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