Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | G41310 | CA |
N | 111NI0900X | Internist | G41310 | CA |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | G41310 | CA |
N | 207U00000X | Nuclear Medicine Specialist | G41310 | CA |
NPI | 1578529426 |
---|---|
Provider Name | James D Rooke |
First Address | Modesto, CA 95355-4201 |
Second Address | Stockton, CA 95209-2839 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 17/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G413100 | (05) | CA |
A48527 | (02) | CA |