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Individual
DR. MARK H COOK
Active
Individual
DR. MARK H COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
14261
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142615
—
SC
01
—
180018446
MEDICARE RAILROAD
SC
01
—
3016069001
CIGNA PROVIDER NUMBER
SC
01
—
4385112
AETNA PROVIDER NUMBER
SC
Enumeration date
01/24/2006
Last updated
10/22/2018
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