Individual
KEITH GEORGE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
3959 E 120TH AVE, THORNTON, CO 80233-1657
(303) 452-4343
Mailing address
3959 E 120TH AVE, THORNTON, CO 80233-1657
(303) 452-4343
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29364
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01293646
—
CO
Enumeration date
11/28/2006
Last updated
05/08/2013
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