Individual provider · NPI-1

John D. Cook, DO

Family Medicine · Madison, WV

NPI number1235231192
StatusActive
Last updated in NPPESOct 6, 2009

Details

NPI
1235231192
Entity type
Individual (NPI-1)
Name
John D. Cook
Credential
DO
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 2, 2006
Last updated
Oct 6, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine1570WVYes
207P00000X Emergency Medicine1570WV

Practice location

701 Madison Ave
Madison, WV 25130-1669

Phone 304-369-1230 · Fax 304-369-1255

Mailing address

701 Madison Ave
Madison, WV 25130-1669

Phone 304-369-1230 · Fax 304-369-1255

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