Individual
THOMAS COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
805 W ACEQUIA AVE, SUITE 1B, VISALIA, CA 93291-6162
(559) 713-0117
(559) 713-1996
Mailing address
PO BOX 7420, VISALIA, CA 93290-7420
(559) 713-0117
(559) 713-1996
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A68280
CA
Other
Enumeration date
06/23/2005
Last updated
10/26/2014
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