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Individual

DR. BRET ALAN COOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1900 WOODLAND DR, COOS BAY, OR 97420-0000
(541) 267-5151
(541) 267-3800
Mailing address
1900 WOODLAND DR, COOS BAY, OR 97420-0000
(541) 267-5151
(541) 267-3800

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD22262
OR
207RX0202X
Medical Oncology Physician
MD22262
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1407812365
NBMC NPI NUMBER-GROUP
OR
05
288479
OR
01
930635514
GROUP TAX ID
OR
01
CB3544
RR MEDICARE GROUP NUMBER
OR
01
MD22262
MEDICAL LICENSE OREGON
OR
01
P00143366
RR MEDICARE PTAN NUMBER
OR
01
R0000WFBTV
GROUP PIN NUMBER
OR
Enumeration date
12/05/2005
Last updated
05/20/2013
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