Individual
STACY MARIE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
5950 UNIVERSITY AVE STE 151, WEST DES MOINES, IA 50266
(515) 875-9192
(515) 875-9193
Mailing address
PO BOX 424, DES MOINES, IA 50302-0424
(515) 875-9925
(515) 875-9923
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001667
IA
Other
Enumeration date
10/24/2006
Last updated
12/29/2023
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