Organization
IRINA CROOK MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA R CROOK MD (OWNER)
(817) 637-9012
Entity
Organization
Contact information
Practice address
91-2141 FORT WEAVER RD, EWA BEACH, HI 96706-1993
(808) 678-7000
Mailing address
PO BOX 25370, HONOLULU, HI 96825-0370
(808) 536-0300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11688
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
581571
—
HI
Enumeration date
08/23/2007
Last updated
10/11/2007
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