Mark W Bookout, M.D.

NPI #1356339063 in East Ridge, Tennessee

Provider Information

NPI Number: 1356339063
Entity Type: Individual
Name: Mark W Bookout, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Otolaryngology
Credential: M.D.
Enumeration Date: Oct 7, 2005
Last Updated: Dec 10, 2012

Practice Location

Address: 4151 RINGGOLD RD
City: East Ridge
State: Tennessee
ZIP Code: 37412-2434
Phone: (423) 622-5165

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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