Individual
BRIAN L COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 353-8691
(319) 356-2587
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 353-8691
(319) 356-2587
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01798
IA
2084P0802X
Addiction Psychiatry Physician
Primary
01798
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0205138
—
IA
01
—
20513
WELLMARK BCBS
IA
Enumeration date
09/20/2005
Last updated
05/22/2009
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