Individual
JOSEPH J COOKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
800 KENYON RD, FORT DODGE, IA 50501-5776
(515) 574-6840
(515) 576-7726
Mailing address
PO BOX 9170, DES MOINES, IA 50306-9170
(515) 633-3600
(515) 633-3838
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
02317
IA
207RI0011X
Interventional Cardiology Physician
Primary
02317
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3264366
—
IA
Enumeration date
11/15/2005
Last updated
06/28/2022
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