Organization
TIMOTHY H COOK MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY H COOK MD (PRESIDENT)
(405) 574-5961
Entity
Organization
Contact information
Practice address
2310 TERRA TRL, EDMOND, OK 73034-3441
(405) 574-5961
Mailing address
2310 TERRA TRL, EDMOND, OK 73034-3441
(405) 574-5961
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21344
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100000770A
—
OK
Enumeration date
07/08/2010
Last updated
07/08/2010
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