Individual
DR. DAVID GERARD MOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
156 MISSOURI BLVD, SUITE B, LAURIE, MO 65038
(573) 374-5263
(573) 374-4933
Mailing address
PO BOX 1500, OSAGE BEACH, MO 65065-1500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R8000
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201375227
—
MO
01
—
P00060709
RAILROAD MEDICARE
MO
Enumeration date
07/21/2005
Last updated
08/02/2013
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