Individual
DR. CRAIG L BOOKOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
180 FLOYD AVE, ROCKY MOUNT, VA 24151-1318
(540) 483-5277
(540) 489-6453
Mailing address
180 FLOYD AVE, ROCKY MOUNT, VA 24151-1318
(540) 483-5277
(540) 489-6453
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101247843
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000472171
BC
WV
05
—
0051678000
—
WV
Enumeration date
12/09/2005
Last updated
12/27/2018
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