Individual
DR. JAY D COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1432 S DOBSON RD, SUITE 301, MESA, AZ 85202-4768
(480) 464-9400
(480) 464-9401
Mailing address
PO BOX 40487, MESA, AZ 85274-0487
(480) 464-9400
(480) 464-9401
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35460
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151185
—
AZ
Enumeration date
06/27/2006
Last updated
11/09/2010
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