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Individual
RICHARD COOK
Active
Individual
RICHARD COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD027626E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009431500002
—
PA
01
—
080120670
RAILROAD MEDICARE PTAN
—
Enumeration date
02/10/2006
Last updated
02/13/2024
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