| Albert Crook, Do | |
|
1103 W. Ironwood Drive Suite A Coeur D' Alene ID 83814-2604 | |
| (208) 667-9400 | |
| (208) 667-2119 |
| Full Name | Albert Crook, Do |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1103 W. Ironwood Drive, Coeur D' Alene, Idaho |
| Authorized Official Name and Position | Albert Allen Crook (OWNER) |
| Authorized Official Contact | 2086679400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Albert Crook, Do 1103 W. Ironwood Drive Suite A Coeur D' Alene ID 83814-2604 Ph: (208) 667-9400 | Albert Crook, Do 1103 W. Ironwood Drive Suite A Coeur D' Alene ID 83814-2604 Ph: (208) 667-9400 |
| NPI Number | 1801816632 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 03/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801816632 | NPI | - | NPPES |
| S5452 | Other | ID | BLUE CROSS OF IDAHO |
| 000010138014 | Other | ID | REGENCE BLUESHIELD OF ID |
| 806409200 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0-134 (Idaho) | Primary |