Individual
FREDERIC ALBERT COOK IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, RT(R)(VI)
Contact information
Practice address
181 W MEADOW DR STE 400, VAIL, CO 81657-5058
(970) 479-5869
Mailing address
181 W MEADOW DR STE 400, VAIL, CO 81657-5058
(970) 306-2549
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4478
CO
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
11/19/2015
Last updated
02/16/2016
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