Individual
MATTHEW COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
37100 N GANTZEL RD STE 201, SAN TAN VALLEY, AZ 85140-7352
(480) 394-4469
(480) 394-4520
Mailing address
37100 N GANTZEL RD STE 201, SAN TAN VALLEY, AZ 85140-7352
(480) 394-4469
(480) 394-4520
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
008623
AZ
390200000X
Student in an Organized Health Care Education/Training Program
BP10060975
TX
Other
Enumeration date
04/18/2017
Last updated
07/15/2020
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