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Individual

DR. SAMUEL NELSON COOKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1673 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1919
(479) 521-0200
(479) 521-4942
Mailing address
PO BOX 1523, FAYETTEVILLE, AR 72702-1523
(479) 571-6038
(479) 582-0222

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-8505
AR

Other

Enumeration date
06/26/2012
Last updated
12/18/2018
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