Individual
EDWIN N COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
300 SIOUX VALLEY DR, CHEROKEE, IA 51012-1205
(712) 225-5101
(712) 225-6880
Mailing address
300 SIOUX VALLEY DR, CHEROKEE, IA 51012-1205
(712) 225-5101
(712) 225-6880
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
3236
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300135030
RAILROAD MEDICARE #
IA
01
—
30278
BLUE CROSS # CHEROKEE SIT
IA
01
—
30285
BLUE CROSS # IDA GROVE SI
IA
05
—
3518563
—
IA
05
—
4518563
—
IA
Enumeration date
03/01/2006
Last updated
06/11/2014
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