Individual
MR. DWAYNE ROBERT COOK I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT
Contact information
Practice address
420 N CENTER DR, SUITE 230, NORFOLK, VA 23502-4007
(757) 466-1163
(757) 466-1178
Mailing address
PO BOX 2145, CHESAPEAKE, VA 23327-2145
(757) 466-1163
(757) 466-1178
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
0120002367
VA
Other
Enumeration date
05/03/2007
Last updated
03/31/2008
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