Individual
JONI COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC ,LAT
Contact information
Practice address
800 TUCKER DR, TULSA, OK 74104-9700
(208) 319-4016
Mailing address
2001 W PRINCETON CIR APT 918, BROKEN ARROW, OK 74012-5153
(208) 319-4016
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
844
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
844
OKLAHOMA STATE BOARD OF MEDICAL LICENSURE AND SUPERVISION
OK
Enumeration date
05/20/2015
Last updated
05/20/2015
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