Individual
CARON M COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A,
Contact information
Practice address
212 E CENTRAL AVE, SUITE 440, SPOKANE, WA 99208-6291
(509) 489-2600
Mailing address
PO BOX 421, SPOKANE, WA 99210-0421
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA01762
TX
363A00000X
Physician Assistant
Primary
PA60085936
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8542029
—
WA
Enumeration date
02/20/2007
Last updated
03/01/2021
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