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Individual

DR. WILLIAM LLOYD BOOKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 OHIO AVE, CLARKSDALE, MS 38614-7200
(662) 624-2504
(662) 627-3629
Mailing address
510 HIGHWAY 322, P O BOX 1216, CLARKSDALE, MS 38614-4717
(662) 624-4292
(662) 624-4354

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10660
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0012582
MS
Enumeration date
07/14/2005
Last updated
04/04/2011
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