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Individual
W BRYCE COOK
Active
Individual
W BRYCE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1032580501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1032580501
STATE LIC #
UT
Enumeration date
06/12/2006
Last updated
03/07/2023
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