Individual
JOE T MCCOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51600 HUNTINGTON RD, LA PINE, OR 97739
(541) 536-3435
Mailing address
PO BOX 3300, LA PINE, OR 97739-3300
(541) 536-3435
(541) 536-8047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD26830
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11809932
CAQH ID
OR
05
—
240135
—
OR
Enumeration date
07/25/2006
Last updated
01/24/2024
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