Individual
DR. TYSON WILLIS COOK
Active
Individual
DR. TYSON WILLIS COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2009-00281
NC
207P00000X
Emergency Medicine Physician
Primary
330938-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073642914
—
NC
05
—
5912216
—
NC
05
—
N0028I
—
SC
Enumeration date
03/05/2007
Last updated
05/20/2016
Update your record
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