Individual
JUAN C COOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2401 W BELVEDERE AVE, ORTHOPEDIC SURGERY, BALTIMORE, MD 21215-5216
(410) 601-5645
(410) 601-8501
Mailing address
2401 W BELVEDERE AVE, ORTHOPEDIC SURGERY, BALTIMORE, MD 21215-5216
(410) 601-5645
(410) 601-8501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0004216
MD
Other
Enumeration date
08/31/2010
Last updated
06/01/2021
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