Individual
ROGER A COOK
Active
Individual
ROGER A COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
11302
MT
207L00000X
Anesthesiology Physician
Primary
M11396
ID
207L00000X
Anesthesiology Physician
MD-54947
IA
207L00000X
Anesthesiology Physician
MD229174
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003966227
—
ID
01
—
11302
MONTANA LICENSE NUMBER
MT
01
—
M11396
IDAHO MEDICAL LICENSE
ID
Enumeration date
01/11/2007
Last updated
05/13/2026
Update your record
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