Individual
WRAY COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.C.O.
Contact information
Practice address
2821 N BALLAS RD STE C30, SAINT LOUIS, MO 63131-2393
(314) 567-7585
(314) 567-7083
Mailing address
2821 N BALLAS RD, SUITE C30, SAINT LOUIS, MO 63131-2321
(314) 567-7585
(314) 567-7083
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
86-198-10
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
321966905
—
MO
Enumeration date
01/02/2007
Last updated
03/18/2019
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