Doctor Name: | LARRY V HOOK |
NPI Number: | 1780909168 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 56236-20 |
Business Practice Address: | 1406 6th Avenue North St. Cloud Hospital St. Cloud, MN - 563031901 |
Business Phone Number: | 3202512700 |
Business Fax Number: | 3206567115 |
Mailing Address: | 1406 6th Avenue North, St. Cloud Hospital ST. CLOUD |
State: | MN |
Postal Code: | 563031901 |
Phone Number: | 3202512700 |
Fax Number: | 3206567115 |
NPI Enumeration Date: | 03/29/2010 |
NPI Last Update Date: | 04/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 56236-20 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |