Organization
GREGORY S COOK OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY SCOTT COOK OD (OWNER)
(580) 256-1288
Entity
Organization
Contact information
Practice address
1621 TEXAS AVE, WOODWARD, OK 73801-3041
(580) 256-1288
(580) 256-7571
Mailing address
1621 TEXAS AVE, WOODWARD, OK 73801-3041
(580) 256-1288
(580) 256-7571
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1130
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100760090A
—
OK
Enumeration date
03/06/2008
Last updated
05/15/2008
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