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NPI Code Detail

MEDICARE: DR. ROBERT J. ROOKSTOOL MD

MEDICARE:  DR. ROBERT J. ROOKSTOOL  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianMD00032276WA
2207Q00000XFamily Medicine PhysicianMD00032276WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15694ROOTHERWABSWA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
36075ROOTHERWABSWA

General Provider Information

NPI Number : 1154397818
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT J. ROOKSTOOL MD
Provider Business Mailing Address
First Line : 4940 BAYVIEW RD
Second Line :
City : LANGLEY
State : WA
Zip : 98260-9778
Country : US
Telephone Number : 360-221-0223
Fax Number :
Provider Business Practice Location Address
First Line : 1211 24TH STREET
Second Line : ISLAND HOSPITAL
City : ANACORTES
State : WA
Zip : 98221-4927
Country : US
Telephone Number : 360-299-1311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2006
Last Update Date : 01/12/2011

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Directions to “ DR. ROBERT J. ROOKSTOOL MD” Practice Location

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