Individual
DR. WILLIAM RANDOLPH MOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1850 TOWN CENTER PKWY, STE 400, RESTON, VA 20190-3219
(703) 810-5202
(703) 810-5420
Mailing address
PO BOX 75420, BALTIMORE, MD 21275-5420
(703) 383-6469
(703) 385-1062
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101258773
VA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
53419
CO
Other
Enumeration date
04/13/2009
Last updated
10/28/2020
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