Individual
ANTHONY RICHARD COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
280 W MACARTHUR BLVD, OAKLAND, CA 94611-5642
(502) 457-8017
Mailing address
1337 BARROWS RD, OAKLAND, CA 94610-2532
(502) 457-8017
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
572625
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4034
CRNA CERTIFICATION NUMBER
CA
Enumeration date
04/07/2011
Last updated
12/30/2021
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