Individual
DR. JOHN GREGORY BOOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
706 W GROVE ST, EL DORADO, AR 71730-4416
(870) 863-8444
(870) 863-7540
Mailing address
706 W GROVE ST, EL DORADO, AR 71730-4416
(870) 863-8444
(870) 863-7540
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R3221
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106172001
—
AR
01
—
13452000000
QUALCHOICE
AR
01
—
160028290
PALMETTO GBA
—
01
—
720980896
UNITED HEALTH CARE
—
Enumeration date
06/27/2006
Last updated
06/17/2010
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