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Individual

MCKENNAN A COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 MERCY CIRCLE, OCEANSIDE, CA 92058
(719) 725-1288
Mailing address
NMCSD 34800 BOB WILSON DRIVE, SAN DIEGO, CA 92134-3300
(619) 881-9169

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
208D00000X
General Practice Physician
Primary
0101270505
VA

Other

Enumeration date
04/15/2019
Last updated
08/15/2024
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