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Individual

DR. JO A COOKE-BARBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7613 W JEFFERSON BLVD STE 200, FORT WAYNE, IN 46804-4182
(260) 469-7337
(260) 469-7340
Mailing address
7613 W JEFFERSON BLVD STE 200, FORT WAYNE, IN 46804-4182
(260) 469-7337
(260) 469-7340

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
74214
GA
2086S0120X
Pediatric Surgery Physician
Primary
01094198A
IN

Other

Enumeration date
05/03/2012
Last updated
07/02/2024
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