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Individual

SHAWN J. CROOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
GREAT FALLS CLINIC HOSPITAL, 3010 15TH AVENUE SOUTH, GREAT FALLS, MT 59405
(406) 216-8000
Mailing address
GREAT FALLS CLINIC HOSPITAL, 3010 15TH AVENUE SOUTH, GREAT FALLS, MT 59405
(406) 216-8000

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2006018414
MO
207L00000X
Anesthesiology Physician
Primary
59462
MT
207P00000X
Emergency Medicine Physician
2006018414
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2006018414
STATE MEDICAL LICENSE
MO
01
59462
STATE MEDICAL LICENSE
MT
Enumeration date
10/27/2006
Last updated
04/10/2018
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