Individual provider · Type 1 NPI

Mark W. Bookout, MD

Otolaryngology Physician · East Ridge, TN

NPI number 1356339063 Active

Practice location

4151 Ringgold Rd
East Ridge, TN 37412-2434

Fax (423) 622-5167

Mailing address

6918 Shallowford Rd, Suite 206
Chattanooga, TN 37421-6784

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000X011511 (TN)
Otolaryngology Physician 207Y00000X025947 (GA)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

About NPI 1356339063

Mark W. Bookout, MD's National Provider Identifier is 1356339063, issued on Oct 7, 2005. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in East Ridge, TN. The record was last updated on Dec 10, 2012.