Individual
ALEXANDER W COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
3000 MACK RD, FAIRFIELD, OH 45014-5335
(513) 870-7001
(513) 603-8174
Mailing address
332 CONGRESS PARK DR, DAYTON, OH 45459-4133
(800) 875-0136
(937) 619-4231
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50001442
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00105188
MEDICARE RR
OH
01
—
P00359448
MEDICARE RR/MIDDLETOWN
OH
Enumeration date
05/17/2006
Last updated
05/03/2013
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