Individual
JUDSON HOWARD COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1950 BLUEGRASS CIR, STE 170, CHEYENNE, WY 82009-7323
(307) 778-2860
(307) 778-2866
Mailing address
1950 BLUEGRASS CIR, STE 170, CHEYENNE, WY 82009-7323
(307) 778-2860
(307) 778-2866
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
6709A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119195100
—
WY
Enumeration date
03/17/2006
Last updated
02/08/2022
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