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Individual
DR. JOHN CRAIG COOK
Active
Individual
DR. JOHN CRAIG COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PC
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
12009951
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000250731
ANTHEM
—
01
—
1309407
UNITED CONCORDIA
—
Enumeration date
12/14/2006
Last updated
07/08/2007
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