Individual
DR. ROGER HARVEY COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 MEDICAL CTR. BLVD., STE. S-850, MARRERO, LA 70072
(504) 349-6450
(504) 349-6454
Mailing address
1111 MEDICAL CTR. BLVD., STE. S-850, MARRERO, LA 70072
(504) 349-6450
(504) 349-6454
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
206252
LA
207Q00000X
Family Medicine Physician
D0071012
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12677523
—
NM
Enumeration date
07/11/2005
Last updated
07/24/2013
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