Individual
ALLAN R COOKE
Active
Individual
ALLAN R COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
04-16724
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05773078
BCBS KC
MO
05
—
100195410A
—
KS
05
—
200981306
—
MO
01
—
625480
FIRSTGUARD
KS
Enumeration date
09/06/2006
Last updated
05/29/2014
Update your record
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