Individual
DR. GARY R COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
403 N 11TH ST, SUITE 439, RICHMOND, VA 23298-5046
(804) 828-9315
(804) 828-1010
Mailing address
PO BOX 980438, RICHMOND, VA 23298-0438
(804) 828-8643
(804) 828-1010
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101035478
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010204020
—
VA
Enumeration date
06/22/2006
Last updated
07/08/2007
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