Individual
MARISSA KAY COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3104 N INSTITUTE ST, COLORADO SPRINGS, CO 80907-5622
(317) 730-3507
Mailing address
900 SOUTH LIMESTONE STREET CHARLES T WETHINGTON, LEXINGTON, KY 40536-0001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0007520
CO
Other
Enumeration date
02/14/2022
Last updated
09/28/2022
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