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Organization
MARK D COOK, MD, INC
Active
Organization
MARK D COOK, MD, INC
Active
Other names
Mark D Cook, MD
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DANIEL COOK M.D. (OWNER)
(209) 848-1005
Entity
Organization
Contact information
Practice address
1425 W H ST, STE 200, OAKDALE, CA 95361-3588
(209) 848-1005
(209) 845-8918
Mailing address
1425 W H ST, STE 200, OAKDALE, CA 95361-3588
(209) 848-1005
(209) 845-8918
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
A60965
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A609650
—
CA
Enumeration date
06/22/2012
Last updated
02/25/2025
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