Individual
JOHN D. COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
701 MADISON AVE, MADISON, WV 25130-1669
(304) 369-1230
(304) 369-1255
Mailing address
701 MADISON AVE, MADISON, WV 25130-1669
(304) 369-1230
(304) 369-1255
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1570
WV
207Q00000X
Family Medicine Physician
Primary
1570
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801150000
—
WV
Enumeration date
09/02/2006
Last updated
10/06/2009
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