Individual
STEPHANI KATHLEEN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
520 MEDICAL CENTER DR, SUITE 300, MEDFORD, OR 97504-4334
(541) 282-6680
(541) 282-6710
Mailing address
520 MEDICAL CENTER DR, SUITE 300, MEDFORD, OR 97504-4334
(541) 282-6680
(541) 282-6710
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA160397
OR
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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