Individual
W BRYCE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
550 E 1400 N, STE B, LOGAN, UT 84341-2450
(435) 752-9011
(435) 752-7159
Mailing address
550 E 1400 N, STE B, LOGAN, UT 84341-2406
(435) 752-9011
(435) 752-7159
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1032580501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1032580501
STATE LIC #
UT
Enumeration date
06/12/2006
Last updated
03/07/2023
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