Individual
DR. TYSON WILLIS COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-6600
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
(704) 414-0423
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
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