Individual
BROCK J COOKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1600 S 48TH ST, STE 600, LINCOLN, NE 68506-1275
(402) 483-3333
(402) 483-3297
Mailing address
PO BOX 6607, LINCOLN, NE 68506-0607
(402) 483-3333
(402) 483-3297
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R8644
IA
207RI0011X
Interventional Cardiology Physician
2018010080
MO
207RI0011X
Interventional Cardiology Physician
Primary
904
NE
207RI0011X
Interventional Cardiology Physician
DO-04108
IA
Other
Enumeration date
06/26/2009
Last updated
04/06/2020
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