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Individual

JONATHAN FOSTER COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
962 W SYCAMORE ST, SPRINGFIELD, MO 65810-2552
Mailing address
962 W SYCAMORE ST, SPRINGFIELD, MO 65810-2552

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
2015003727
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1215046388
MO
05
200020165
MO
Enumeration date
08/30/2006
Last updated
01/03/2023
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