Individual
TRAVIS COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9450 S 1300 E, 120, SANDY, UT 84094-5555
(801) 501-6150
Mailing address
580 E 600 N, PAYSON, UT 84651-1518
(801) 310-3772
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/27/2015
Last updated
09/28/2015
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