Organization
BRIAN K COOK,DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA WEIR (OFFICE MANAGER)
(256) 539-4079
Entity
Organization
Contact information
Practice address
604 DAVIS CIR SW, HUNTSVILLE, AL 35801-5014
(256) 539-4079
Mailing address
604 DAVIS CIR SW, HUNTSVILLE, AL 35801-5014
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
5770
AL
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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