Individual
DR. JOHNNIE V COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2075 N 1200 W, LAYTON, UT 84041-1616
(801) 779-6200
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 779-6200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
921874741205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467597005
—
UT
Enumeration date
08/28/2006
Last updated
06/19/2008
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