Individual
STACIE L COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1602 SKIPWITH RD, DEPARTMENT OF EMERGENCY MEDICINE, RICHMOND, VA 23229-5205
(804) 229-6326
Mailing address
1602 SKIPWITH RD, DEPARTMENT OF EMERGENCY MEDICINE, RICHMOND, VA 23229-5205
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101256235
VA
Other
Enumeration date
05/31/2012
Last updated
07/02/2015
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