Individual
DOUGLAS JAMES COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 529-7910
Mailing address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 529-7910
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34.011116
OH
207P00000X
Emergency Medicine Physician
Primary
O-0855
ID
Other
Enumeration date
04/09/2012
Last updated
05/18/2015
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