Individual
MRS. HEATHER MARIE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3997 BECKLEY RD, PRINCETON, WV 24740-7660
(304) 431-5499
Mailing address
3997 BECKLEY RD, PRINCETON, WV 24740-7660
(304) 431-5499
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01357
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035334000
—
WV
Enumeration date
09/29/2008
Last updated
09/29/2008
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