Individual
IVA COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 UNITED FOUNDERS BLVD STE 104, OKLAHOMA CITY, OK 73112-3927
(405) 254-3994
Mailing address
14832 NW EXPRESSWAY, PIEDMONT, OK 73078-9336
(405) 373-0059
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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